Provider First Line Business Practice Location Address:
9627 ROUTE 35 STE 20
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT PLEASANT MILLS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17853-8409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-539-2050
Provider Business Practice Location Address Fax Number:
570-539-8581
Provider Enumeration Date:
10/26/2026