Provider First Line Business Practice Location Address:
211 N 12TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEHIGHTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18235-1138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-658-1151
Provider Business Practice Location Address Fax Number:
484-464-4831
Provider Enumeration Date:
06/06/2023