Provider First Line Business Practice Location Address:
1127 S 46TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19143-3734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-682-5617
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/29/2017