Provider First Line Business Practice Location Address:
929 WOOD STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILKINSURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-731-9888
Provider Business Practice Location Address Fax Number:
412-731-9846
Provider Enumeration Date:
09/21/2006