Provider First Line Business Practice Location Address:
320 CENTRAL CITY PLZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW KENSINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15068-6441
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-335-5721
Provider Business Practice Location Address Fax Number:
724-335-5778
Provider Enumeration Date:
01/20/2006