Provider First Line Business Practice Location Address:
2114 NORTH FRANKLIN DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-222-5433
Provider Business Practice Location Address Fax Number:
814-248-7902
Provider Enumeration Date:
04/14/2009