Provider First Line Business Practice Location Address:
511 ST. CLAIR AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLAIRTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15102-0089
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-233-3313
Provider Business Practice Location Address Fax Number:
412-233-4675
Provider Enumeration Date:
07/29/2011