Provider First Line Business Practice Location Address:
2921 LEECHBURG RD
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
LOWER BURRELL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15068-3237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-334-2225
Provider Business Practice Location Address Fax Number:
724-335-7246
Provider Enumeration Date:
06/05/2006