Provider First Line Business Practice Location Address:
659 PITTSBURGH RD
Provider Second Line Business Practice Location Address:
DELLIGATTI SHOES
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-2215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-438-5401
Provider Business Practice Location Address Fax Number:
724-438-5402
Provider Enumeration Date:
12/05/2006