Provider First Line Business Practice Location Address:
301 MEADE STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILKINSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-436-1298
Provider Business Practice Location Address Fax Number:
412-436-1315
Provider Enumeration Date:
08/29/2012