Provider First Line Business Practice Location Address:
500 WEST BERKELEY STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-5514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-430-6598
Provider Business Practice Location Address Fax Number:
724-430-3932
Provider Enumeration Date:
02/17/2009