Provider First Line Business Practice Location Address:
281 TIMBER LAKE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLAYSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15323-1324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-948-3333
Provider Business Practice Location Address Fax Number:
724-948-3923
Provider Enumeration Date:
09/26/2007