Provider First Line Business Practice Location Address:
238 W ALLEGHENY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IMPERIAL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15126-9775
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-545-3132
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2025