Provider First Line Business Practice Location Address:
142 KIMBERLEIGH CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-9260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-269-9907
Provider Business Practice Location Address Fax Number:
570-476-6761
Provider Enumeration Date:
08/20/2010