Provider First Line Business Practice Location Address:
153 7TH STREET EXT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRAFFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15085-1202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-926-8132
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/01/2026