Provider First Line Business Practice Location Address:
125 N FRANKLIN DR
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301-5892
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-222-2256
Provider Business Practice Location Address Fax Number:
724-222-9384
Provider Enumeration Date:
10/18/2012