Provider First Line Business Practice Location Address:
995 W GEORGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARMICHAELS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15320-1622
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-966-7117
Provider Business Practice Location Address Fax Number:
724-966-7117
Provider Enumeration Date:
06/15/2011