Provider First Line Business Practice Location Address:
280 MCCLELLANDTOWN RD STE D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-3111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-550-4263
Provider Business Practice Location Address Fax Number:
724-550-4266
Provider Enumeration Date:
01/20/2006