Provider First Line Business Practice Location Address:
12801 LINCOLN HWY E STE 5
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15642-1397
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-590-5139
Provider Business Practice Location Address Fax Number:
724-590-5148
Provider Enumeration Date:
07/15/2009