Provider First Line Business Practice Location Address:
611 CENTRE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREELAND
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18224-1941
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-526-2400
Provider Business Practice Location Address Fax Number:
570-526-4800
Provider Enumeration Date:
02/01/2021