Provider First Line Business Practice Location Address:
18 S 9TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360-1630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-8280
Provider Business Practice Location Address Fax Number:
570-344-1481
Provider Enumeration Date:
02/21/2007