Provider First Line Business Practice Location Address:
605B PITTSBURGH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-2200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-438-4582
Provider Business Practice Location Address Fax Number:
724-438-4584
Provider Enumeration Date:
11/10/2009