Provider First Line Business Practice Location Address:
8700 PENNSYLVANIA AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15642
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-864-0070
Provider Business Practice Location Address Fax Number:
724-864-8520
Provider Enumeration Date:
09/06/2006