Provider First Line Business Practice Location Address:
1100 W CHESTNUT ST
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:
15301-4631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-222-2545
Provider Business Practice Location Address Fax Number:
724-222-2579
Provider Enumeration Date:
05/24/2006