Provider First Line Business Practice Location Address:
1321 5TH AVE
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
MCKEESPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15132-2403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-672-9240
Provider Business Practice Location Address Fax Number:
412-672-5392
Provider Enumeration Date:
06/20/2006