Provider First Line Business Practice Location Address:
1 LEARN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TANNERSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18372-0597
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-620-2017
Provider Business Practice Location Address Fax Number:
570-620-2017
Provider Enumeration Date:
09/14/2006