Provider First Line Business Practice Location Address:
1985 LINCOLN WAY
Provider Second Line Business Practice Location Address:
RAINBOW VILLAGE SHOPPING CENTER
Provider Business Practice Location Address City Name:
WHITE OAK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15131-2418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-672-2352
Provider Business Practice Location Address Fax Number:
412-672-2657
Provider Enumeration Date:
06/19/2006