Provider First Line Business Practice Location Address:
RTE 6 TRAP PLAZA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EYNON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-876-5200
Provider Business Practice Location Address Fax Number:
570-876-5612
Provider Enumeration Date:
01/24/2007