Provider First Line Business Practice Location Address:
100 W UNION ST
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18704-3808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-287-4110
Provider Business Practice Location Address Fax Number:
570-337-0274
Provider Enumeration Date:
03/26/2009