Provider First Line Business Practice Location Address:
826 RIDGE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MC KEES ROCKS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15136-2116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-900-9969
Provider Business Practice Location Address Fax Number:
412-612-2938
Provider Enumeration Date:
01/23/2026