Provider First Line Business Practice Location Address:
600 N HUNTER HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DRUMS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18222-2019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-788-4484
Provider Business Practice Location Address Fax Number:
570-788-4413
Provider Enumeration Date:
07/28/2006