Provider First Line Business Practice Location Address:
320 W DRINKER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUNMORE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18512-1918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-344-1551
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/07/2007