Provider First Line Business Practice Location Address:
115 SOUTH 8TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-349-4009
Provider Business Practice Location Address Fax Number:
724-349-4009
Provider Enumeration Date:
12/19/2006