Provider First Line Business Practice Location Address:
2447 STATE ROUTE 118
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNLOCK CREEK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18621-5022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-477-1208
Provider Business Practice Location Address Fax Number:
570-477-1208
Provider Enumeration Date:
01/16/2008