Provider First Line Business Practice Location Address:
1125 LEISHMAN AVE STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW KENSINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15068-5604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-737-2140
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/21/2023