Provider First Line Business Practice Location Address:
3337 ROUTE 130 STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARRISON CITY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15636-1260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-378-1058
Provider Business Practice Location Address Fax Number:
412-324-3633
Provider Enumeration Date:
11/17/2022