Provider First Line Business Practice Location Address:
2300 ADAMS AVE
Provider Second Line Business Practice Location Address:
MARYWOOD UNIVERSITY
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18509-1514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-348-6299
Provider Business Practice Location Address Fax Number:
570-961-4708
Provider Enumeration Date:
02/05/2007