Provider First Line Business Practice Location Address:
582 6TH ST REAR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITCAIRN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15140-1200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-856-6432
Provider Business Practice Location Address Fax Number:
412-856-3690
Provider Enumeration Date:
05/30/2007