Provider First Line Business Practice Location Address:
250 UNIVERSITY AVENUE
Provider Second Line Business Practice Location Address:
CALIFORNIA UNIVERSITY OF PENNSYLVANIA
Provider Business Practice Location Address City Name:
CALIFORNIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-809-9411
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2006