Provider First Line Business Practice Location Address:
214 HUSTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360-2331
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-269-0238
Provider Business Practice Location Address Fax Number:
570-369-4966
Provider Enumeration Date:
01/29/2014