Provider First Line Business Practice Location Address:
149 SAWMILL 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:
18301-8180
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-517-7153
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/13/2008