Provider First Line Business Practice Location Address:
1 COLLEGE GRN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LA PLUME
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18440-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-945-8000
Provider Business Practice Location Address Fax Number:
570-945-6960
Provider Enumeration Date:
09/01/2009