Provider First Line Business Practice Location Address:
500 3RD AVE
Provider Second Line Business Practice Location Address:
BOX 392
Provider Business Practice Location Address City Name:
FORD CITY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16226-1004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-763-1323
Provider Business Practice Location Address Fax Number:
724-788-1326
Provider Enumeration Date:
03/20/2012