Provider First Line Business Practice Location Address:
1 TAMAQUA BLVD
Provider Second Line Business Practice Location Address:
PRYSMIAN EMPLOYEE HEALTH CLINIC
Provider Business Practice Location Address City Name:
SCHUYLKILL HAVEN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17972
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-385-9216
Provider Business Practice Location Address Fax Number:
570-385-1261
Provider Enumeration Date:
09/16/2014