Provider First Line Business Practice Location Address:
997 HARRISON CITY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEVELGREEN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15085
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-744-4412
Provider Business Practice Location Address Fax Number:
724-744-6078
Provider Enumeration Date:
01/17/2007