Provider First Line Business Practice Location Address:
2623 WILMINGTON ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-658-0822
Provider Business Practice Location Address Fax Number:
724-657-0884
Provider Enumeration Date:
07/03/2008