Provider First Line Business Practice Location Address:
3535 ROUTE 130
Provider Second Line Business Practice Location Address:
SUITE 2, LOWER LEVEL
Provider Business Practice Location Address City Name:
IRWIN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15642-2143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-378-1058
Provider Business Practice Location Address Fax Number:
412-246-9383
Provider Enumeration Date:
04/08/2013