Provider First Line Business Practice Location Address:
112 N LIBERTY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16102-1830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-652-1451
Provider Business Practice Location Address Fax Number:
724-657-0592
Provider Enumeration Date:
04/29/2012