Provider First Line Business Practice Location Address:
1043 S NEGLEY 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:
15217-1045
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-361-5742
Provider Business Practice Location Address Fax Number:
412-361-5743
Provider Enumeration Date:
08/09/2008