Provider First Line Business Practice Location Address:
685 CAREY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HANOVER TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18706-5489
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-829-0539
Provider Business Practice Location Address Fax Number:
570-829-4036
Provider Enumeration Date:
10/19/2006