Provider First Line Business Practice Location Address:
1924 PARKER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLMES
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19043-1414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-237-6645
Provider Business Practice Location Address Fax Number:
610-237-6473
Provider Enumeration Date:
08/28/2006