Provider First Line Business Practice Location Address:
1929 E WASHINGTON ST
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101-5236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-652-5144
Provider Business Practice Location Address Fax Number:
724-654-3342
Provider Enumeration Date:
10/29/2007