Provider First Line Business Practice Location Address:
519 E ABBOTT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANSFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18232-2204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-645-9445
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/07/2005