Provider First Line Business Practice Location Address:
149 SAWKILL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18337-1141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-296-2580
Provider Business Practice Location Address Fax Number:
570-832-2164
Provider Enumeration Date:
07/24/2006