Provider First Line Business Practice Location Address:
791 SCRANTON CARBONDALE HWY
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:
18403-1021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-876-3788
Provider Business Practice Location Address Fax Number:
570-876-8201
Provider Enumeration Date:
05/03/2011