Provider First Line Business Practice Location Address:
17 WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TURBOTVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17772-8548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-898-9192
Provider Business Practice Location Address Fax Number:
570-649-6910
Provider Enumeration Date:
08/15/2011