Provider First Line Business Practice Location Address:
5074 W LIBRARY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHEL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15102-2738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-854-5838
Provider Business Practice Location Address Fax Number:
412-854-5838
Provider Enumeration Date:
09/14/2006