Provider First Line Business Practice Location Address:
202 JACOB MURPHY LN
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-2686
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-531-2902
Provider Business Practice Location Address Fax Number:
412-531-2948
Provider Enumeration Date:
08/08/2012