Provider First Line Business Practice Location Address:
1619 NORTH 9TH STREET
Provider Second Line Business Practice Location Address:
SUITE #13, 14 & 15
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-420-7939
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/10/2024