Provider First Line Business Practice Location Address:
1432 LINCOLN WAY
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
MCKEESPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15131-1600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-678-7711
Provider Business Practice Location Address Fax Number:
412-664-7903
Provider Enumeration Date:
09/06/2006