Provider First Line Business Practice Location Address:
591 FAN HOLLOW RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-9022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-439-9000
Provider Business Practice Location Address Fax Number:
724-439-1369
Provider Enumeration Date:
11/02/2006