Provider First Line Business Practice Location Address:
ROUTE 18 WAL-MART SHOPPING PLAZA
Provider Second Line Business Practice Location Address:
HERITAGE VALLEY CONVENIENT CARE-MONACA
Provider Business Practice Location Address City Name:
MONACA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-774-5175
Provider Business Practice Location Address Fax Number:
724-774-5175
Provider Enumeration Date:
06/16/2009