Provider First Line Business Practice Location Address:
445 W MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 6
Provider Business Practice Location Address City Name:
MOUNT PLEASANT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15666-1533
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-547-6700
Provider Business Practice Location Address Fax Number:
724-547-3809
Provider Enumeration Date:
08/17/2009