Provider First Line Business Practice Location Address:
5201 SAINT JOSEPHS ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIMEPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18060-0010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-965-9021
Provider Business Practice Location Address Fax Number:
610-928-0174
Provider Enumeration Date:
05/29/2008