Provider First Line Business Practice Location Address:
2115 N 5TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360-2801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-6223
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2006