Provider First Line Business Practice Location Address:
3275 LEECHBURG RD
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
LOWER BURRELL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15068-2858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-337-4454
Provider Business Practice Location Address Fax Number:
724-337-4401
Provider Enumeration Date:
04/17/2006