Provider First Line Business Practice Location Address:
506 S MILLVALE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15224-2118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-687-0961
Provider Business Practice Location Address Fax Number:
412-687-1126
Provider Enumeration Date:
07/25/2006