Provider First Line Business Practice Location Address:
741 NORTH CHURCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MT PLEASANT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15666
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-547-9810
Provider Business Practice Location Address Fax Number:
724-547-9824
Provider Enumeration Date:
01/23/2007