Provider First Line Business Practice Location Address:
415 CENTRE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREELAND
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-636-2232
Provider Business Practice Location Address Fax Number:
570-636-0903
Provider Enumeration Date:
01/06/2006