Provider First Line Business Practice Location Address:
341 E BERTSCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANSFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18232-2111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-805-4777
Provider Business Practice Location Address Fax Number:
570-805-4779
Provider Enumeration Date:
03/14/2012