Provider First Line Business Practice Location Address:
154 SEMMELS HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEHIGHTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18235-9794
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-533-8115
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/30/2005