Provider First Line Business Practice Location Address:
294 BETHEL SCHOOL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONESDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18431-3033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-253-3782
Provider Business Practice Location Address Fax Number:
570-253-1041
Provider Enumeration Date:
05/01/2007