Provider First Line Business Practice Location Address:
6000 WATERDAM PLAZA
Provider Second Line Business Practice Location Address:
SUITE 120
Provider Business Practice Location Address City Name:
MCMURRAY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-942-5130
Provider Business Practice Location Address Fax Number:
724-942-4444
Provider Enumeration Date:
08/11/2006