Provider First Line Business Practice Location Address:
123 WASHINGTON ST
Provider Second Line Business Practice Location Address:
SUITE 244
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301-4605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-228-7233
Provider Business Practice Location Address Fax Number:
724-250-7515
Provider Enumeration Date:
03/20/2007