Provider First Line Business Practice Location Address:
144 3RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CALIFORNIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15419-1130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-938-7101
Provider Business Practice Location Address Fax Number:
724-938-8467
Provider Enumeration Date:
11/27/2006