Provider First Line Business Practice Location Address:
241 DELAWARE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALMERTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18071-1812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-824-8284
Provider Business Practice Location Address Fax Number:
610-824-8284
Provider Enumeration Date:
07/12/2012