Provider First Line Business Practice Location Address:
829 SCRANTON CARBONDALE HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EYNON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-383-0825
Provider Business Practice Location Address Fax Number:
570-574-4225
Provider Enumeration Date:
09/22/2011