Provider First Line Business Practice Location Address:
192 11TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TURTLE CREEK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15145-1812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-829-8155
Provider Business Practice Location Address Fax Number:
412-824-9955
Provider Enumeration Date:
11/03/2005