Provider First Line Business Practice Location Address:
536 FRANKLIN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALIQUIPPA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15001-3728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-375-4111
Provider Business Practice Location Address Fax Number:
724-375-9419
Provider Enumeration Date:
02/23/2007