Provider First Line Business Practice Location Address:
116 S. WALNUT ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-837-7811
Provider Business Practice Location Address Fax Number:
610-837-8744
Provider Enumeration Date:
10/03/2006