Provider First Line Business Practice Location Address:
1200 WASHINGTON RD
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:
15301-9696
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-225-4181
Provider Business Practice Location Address Fax Number:
724-225-5511
Provider Enumeration Date:
05/27/2006