Provider First Line Business Practice Location Address:
1130 MULBERRY ST
Provider Second Line Business Practice Location Address:
UNIVERSITY OF SCRANTON STUDENT HEALTH SERVICES
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18510-2125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-941-7667
Provider Business Practice Location Address Fax Number:
570-941-4298
Provider Enumeration Date:
09/26/2005