Provider First Line Business Practice Location Address:
3240 WASHINGTON RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
MC MURRAY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15317-3180
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-941-4434
Provider Business Practice Location Address Fax Number:
724-941-4714
Provider Enumeration Date:
12/22/2005