Provider First Line Business Practice Location Address:
214 E. DRINKER ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUNMORE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18512-1249
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-969-7560
Provider Business Practice Location Address Fax Number:
570-969-2144
Provider Enumeration Date:
02/14/2011