Provider First Line Business Practice Location Address:
149 S HUNTER HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DRUMS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18222-2422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-788-7321
Provider Business Practice Location Address Fax Number:
570-788-7267
Provider Enumeration Date:
04/26/2007