Provider First Line Business Practice Location Address:
950 EAST MOUNTAIN BLVD. 3RD FLOOR
Provider Second Line Business Practice Location Address:
WILKES-BARRE, PENNSYLVANIA 18708
Provider Business Practice Location Address City Name:
WILKES-BARRE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-808-3200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/07/2025