Provider First Line Business Practice Location Address:
240 RIDGE AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKNIGHT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15237-6914
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-366-3104
Provider Business Practice Location Address Fax Number:
330-847-7708
Provider Enumeration Date:
07/31/2006