Provider First Line Business Practice Location Address:
322 S HANCOCK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCADOO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18237-1608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-929-1130
Provider Business Practice Location Address Fax Number:
570-929-1208
Provider Enumeration Date:
05/18/2006