Provider First Line Business Practice Location Address:
3506 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MUNHALL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15120-3259
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-461-1442
Provider Business Practice Location Address Fax Number:
412-461-4720
Provider Enumeration Date:
09/22/2006