Provider First Line Business Practice Location Address:
681 SCRANTON CARBONDALE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EYNON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-876-5900
Provider Business Practice Location Address Fax Number:
570-876-5300
Provider Enumeration Date:
01/30/2007