Provider First Line Business Practice Location Address:
254 DALEVILLE HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COVINGTON TWP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18444
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-904-7363
Provider Business Practice Location Address Fax Number:
570-227-1591
Provider Enumeration Date:
03/17/2025