Provider First Line Business Practice Location Address:
161 WATERDAM RD
Provider Second Line Business Practice Location Address:
SUITE 260
Provider Business Practice Location Address City Name:
MC MURRAY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15317-2571
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-299-0080
Provider Business Practice Location Address Fax Number:
724-299-0079
Provider Enumeration Date:
08/18/2010