Provider First Line Business Practice Location Address:
212 LANGAN ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COVINGTON TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18444
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-592-5274
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/06/2024