Provider First Line Business Practice Location Address:
200 SCRANTON CARBONDALE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EYNON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18403-1029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-291-8563
Provider Business Practice Location Address Fax Number:
570-227-1034
Provider Enumeration Date:
02/10/2020