Provider First Line Business Practice Location Address:
3021 KLEIN ST
Provider Second Line Business Practice Location Address:
28C
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-7486
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-225-3085
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/19/2009