Provider First Line Business Practice Location Address:
6530 RT 22 SALEM PLACE
Provider Second Line Business Practice Location Address:
SUITE 305
Provider Business Practice Location Address City Name:
DELMONT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-461-7191
Provider Business Practice Location Address Fax Number:
724-461-7597
Provider Enumeration Date:
06/04/2008