Provider First Line Business Practice Location Address:
670 S RIVER ST STE 301
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLAINS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18705-1032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-270-2600
Provider Business Practice Location Address Fax Number:
570-270-2828
Provider Enumeration Date:
09/26/2006