Provider First Line Business Practice Location Address:
1346 ROUTE 739
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DINGMANS FERRY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18328-3423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-686-4300
Provider Business Practice Location Address Fax Number:
570-686-4302
Provider Enumeration Date:
12/30/2014