Provider First Line Business Practice Location Address:
105 LAYTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH ABINGTON TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18411-9376
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-586-8186
Provider Business Practice Location Address Fax Number:
570-587-0758
Provider Enumeration Date:
02/04/2011