Provider First Line Business Practice Location Address:
280 W HIGH ST
Provider Second Line Business Practice Location Address:
1ST FLOOR
Provider Business Practice Location Address City Name:
WAYNESBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15370-1312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-322-1644
Provider Business Practice Location Address Fax Number:
724-814-3287
Provider Enumeration Date:
12/08/2016