Provider First Line Business Practice Location Address:
768 E 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:
18512-2541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-342-6801
Provider Business Practice Location Address Fax Number:
570-342-0442
Provider Enumeration Date:
10/21/2008