Provider First Line Business Practice Location Address:
826 MERCHANT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMBRIDGE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-266-2317
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/08/2006