Provider First Line Business Practice Location Address:
702 SOUTHERN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15211-2253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-726-3797
Provider Business Practice Location Address Fax Number:
412-481-0192
Provider Enumeration Date:
08/25/2009