Provider First Line Business Practice Location Address:
8 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRUCKSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18708-1419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-903-6260
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/23/2024