Provider First Line Business Practice Location Address:
1218 W STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101-2021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-856-4303
Provider Business Practice Location Address Fax Number:
724-652-9222
Provider Enumeration Date:
09/25/2015