Provider First Line Business Practice Location Address:
UHLER HL RM 238
Provider Second Line Business Practice Location Address:
1020 OAKLAND AVENUE
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15705-1064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-357-6228
Provider Business Practice Location Address Fax Number:
724-357-7817
Provider Enumeration Date:
04/20/2011