Provider First Line Business Practice Location Address:
521 PLYMOUTH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-4363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-831-9390
Provider Business Practice Location Address Fax Number:
412-831-8868
Provider Enumeration Date:
01/31/2007