Provider First Line Business Practice Location Address:
500 N WATER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MASONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15461-1778
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-583-8338
Provider Business Practice Location Address Fax Number:
724-583-7037
Provider Enumeration Date:
01/14/2008