Provider First Line Business Practice Location Address:
115 E NEW CASTLE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ZELIENOPLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16063-1333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-285-0009
Provider Business Practice Location Address Fax Number:
724-285-0090
Provider Enumeration Date:
09/16/2011