Provider First Line Business Practice Location Address:
803 MILLER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLAIRTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15025-1346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-233-5150
Provider Business Practice Location Address Fax Number:
412-233-0717
Provider Enumeration Date:
06/22/2007