Provider First Line Business Practice Location Address:
231 DELAWARE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST PITTSTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18643-2101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-313-3132
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2025