Provider First Line Business Practice Location Address:
331 MERCHANT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMBRIDGE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15003-2523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-329-1302
Provider Business Practice Location Address Fax Number:
412-734-6944
Provider Enumeration Date:
11/10/2007