Provider First Line Business Practice Location Address:
700 QUINCY AVE
Provider Second Line Business Practice Location Address:
MTH ED
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18510-1724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-340-2100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/04/2011