Provider First Line Business Practice Location Address:
950 ROUTE 118 HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUGHESVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17737-8672
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-560-3410
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/29/2024