Provider First Line Business Practice Location Address:
606 LOCUST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKEESPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15132-2911
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-675-8533
Provider Business Practice Location Address Fax Number:
412-675-8920
Provider Enumeration Date:
07/02/2007