Provider First Line Business Practice Location Address:
ROUTE 6 WEST
Provider Second Line Business Practice Location Address:
FARM & HOME PLAZA
Provider Business Practice Location Address City Name:
WYALUSING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18853
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-746-3500
Provider Business Practice Location Address Fax Number:
570-746-3545
Provider Enumeration Date:
05/10/2006