Provider First Line Business Practice Location Address:
142 ELECTRIC ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PECKVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18452-2110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-575-5400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/17/2008