Provider First Line Business Practice Location Address:
330 CENTRAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301-3504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-225-3535
Provider Business Practice Location Address Fax Number:
724-225-5085
Provider Enumeration Date:
07/19/2012