Provider First Line Business Practice Location Address:
801 S 11TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-3165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-462-3844
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/03/2019