Provider First Line Business Practice Location Address:
RTE 590 AT 348
Provider Second Line Business Practice Location Address:
HAMLIN PROFESSIOANL COMPLEX
Provider Business Practice Location Address City Name:
HAMLIN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-689-2449
Provider Business Practice Location Address Fax Number:
570-689-0960
Provider Enumeration Date:
03/19/2007