Provider First Line Business Practice Location Address:
6056 FRANKLIN HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-9268
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-977-7197
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/20/2009