Provider First Line Business Practice Location Address:
824 CALIFORNIA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AVALON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15202-2706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-766-3232
Provider Business Practice Location Address Fax Number:
412-766-4320
Provider Enumeration Date:
01/22/2007