Provider First Line Business Practice Location Address:
1135 HAMPDEN PLACE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STRAUSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17579-1123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-687-3604
Provider Business Practice Location Address Fax Number:
717-687-3604
Provider Enumeration Date:
01/05/2016