Provider First Line Business Practice Location Address:
1471 LEHIGH ST UNIT 28
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-3811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-443-6337
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/24/2022