Provider First Line Business Practice Location Address:
250 S RIVER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLAINS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18705-1143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-287-4800
Provider Business Practice Location Address Fax Number:
570-287-3289
Provider Enumeration Date:
07/11/2006