Provider First Line Business Practice Location Address:
613 E PITTSBURGH MCKEESPORT BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH VERSAILLES
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15137-2267
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-675-0960
Provider Business Practice Location Address Fax Number:
412-675-0965
Provider Enumeration Date:
07/08/2006