Provider First Line Business Practice Location Address:
289 MCCLELLANDTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-3107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-439-3627
Provider Business Practice Location Address Fax Number:
724-439-0489
Provider Enumeration Date:
09/11/2019