Provider First Line Business Practice Location Address:
552 WASHINGTON AVE.
Provider Second Line Business Practice Location Address:
UNIT D
Provider Business Practice Location Address City Name:
CARNEGIE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-429-1908
Provider Business Practice Location Address Fax Number:
412-429-0800
Provider Enumeration Date:
06/03/2013