Provider First Line Business Practice Location Address:
1540 LONGVIEW AVE
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:
15003-1559
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-965-4911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/25/2009