Provider First Line Business Practice Location Address:
1056 RT. 390 HIGHPOINT BUSINESS CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNTAINHOME
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-595-0950
Provider Business Practice Location Address Fax Number:
570-595-0528
Provider Enumeration Date:
05/22/2012