Provider First Line Business Practice Location Address:
2001 WATERDAM PLAZA DR
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
MCMURRAY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15317-5416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-942-0610
Provider Business Practice Location Address Fax Number:
724-942-3056
Provider Enumeration Date:
07/11/2006