Provider First Line Business Practice Location Address:
8731 ROUTE 30
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15642-3241
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-978-0110
Provider Business Practice Location Address Fax Number:
724-978-0089
Provider Enumeration Date:
10/13/2009