Provider First Line Business Practice Location Address:
513 MILL CREEK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-1125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-982-4205
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/27/2014