Provider First Line Business Practice Location Address:
327 N WASHINGTON AVE STE 904
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18503-1543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-342-9246
Provider Business Practice Location Address Fax Number:
570-346-3434
Provider Enumeration Date:
05/21/2013