Provider First Line Business Practice Location Address:
1430 LINCOLN WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKEESPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15131-1606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-678-0219
Provider Business Practice Location Address Fax Number:
412-678-0764
Provider Enumeration Date:
06/12/2006