Provider First Line Business Practice Location Address:
131 S COLLEGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301-4923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-228-3142
Provider Business Practice Location Address Fax Number:
724-228-9771
Provider Enumeration Date:
01/23/2007