Provider First Line Business Practice Location Address:
49 SOUTH MAIN ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-820-8888
Provider Business Practice Location Address Fax Number:
570-820-8899
Provider Enumeration Date:
03/17/2008