Provider First Line Business Practice Location Address:
142 HIGH POINTE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301-8728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-388-7519
Provider Business Practice Location Address Fax Number:
724-437-4614
Provider Enumeration Date:
05/16/2009