Provider First Line Business Practice Location Address:
844 INTERCHANGE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEHIGHTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18235-9286
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-377-3956
Provider Business Practice Location Address Fax Number:
610-377-8127
Provider Enumeration Date:
04/01/2009