Provider First Line Business Practice Location Address:
391 EAST BROWN STREET, LOWER LEVEL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-730-4411
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/05/2017