Provider First Line Business Practice Location Address:
SCHOOLHOUSE HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEHOOPANY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-341-9340
Provider Business Practice Location Address Fax Number:
570-341-3237
Provider Enumeration Date:
08/07/2006