Provider First Line Business Practice Location Address:
281 N 12TH ST STE F
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:
18235-1101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-377-5959
Provider Business Practice Location Address Fax Number:
610-379-0034
Provider Enumeration Date:
04/02/2014