Provider First Line Business Practice Location Address:
2402 HOOKSTOWN GRADE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLINTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15026-1814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-303-3723
Provider Business Practice Location Address Fax Number:
412-894-8606
Provider Enumeration Date:
10/21/2016