Provider First Line Business Practice Location Address:
751 MERCHANT STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMBRIDGE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15003-1304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-777-2240
Provider Business Practice Location Address Fax Number:
724-266-0738
Provider Enumeration Date:
09/07/2006