Provider First Line Business Practice Location Address:
3 NICKMAN'S PLAZA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEMONT FURNACE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-437-2144
Provider Business Practice Location Address Fax Number:
724-437-8303
Provider Enumeration Date:
10/16/2006