Provider First Line Business Practice Location Address:
434 DUNMORE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THROOP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18512-1147
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-489-4722
Provider Business Practice Location Address Fax Number:
570-489-4725
Provider Enumeration Date:
02/03/2006