Provider First Line Business Practice Location Address:
214 KELLY HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EFFORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18330-9292
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-620-2299
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/08/2009