Provider First Line Business Practice Location Address:
6TH AVE AND SPRUCE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
W. READING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-988-5455
Provider Business Practice Location Address Fax Number:
610-988-4242
Provider Enumeration Date:
06/20/2005