Provider First Line Business Practice Location Address:
3801 NEHRIG HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARDARA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15615-9739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-856-5438
Provider Business Practice Location Address Fax Number:
412-856-7279
Provider Enumeration Date:
07/20/2006