Provider First Line Business Practice Location Address:
102 DINGMAN PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DINGMANS FERRY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-253-8906
Provider Business Practice Location Address Fax Number:
570-344-5518
Provider Enumeration Date:
08/27/2014