Provider First Line Business Practice Location Address:
60 YANKEETOWN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOMER CITY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15748-1011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-471-7471
Provider Business Practice Location Address Fax Number:
724-471-0262
Provider Enumeration Date:
04/25/2016