Provider First Line Business Practice Location Address:
1800 N 12TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
READING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19604-1545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-816-5728
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/19/2006