Provider First Line Business Practice Location Address:
423 SCRANTON CARBONDALE HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-343-4334
Provider Business Practice Location Address Fax Number:
570-207-5511
Provider Enumeration Date:
04/12/2007