Provider First Line Business Practice Location Address:
130 GREENE PLAZA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAYNESBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15370-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-627-2756
Provider Business Practice Location Address Fax Number:
724-627-2757
Provider Enumeration Date:
11/11/2010