Provider First Line Business Practice Location Address:
237 WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALTSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15681-1131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-639-9022
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2006