Provider First Line Business Practice Location Address:
440 PIERCE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18704-5500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-287-1122
Provider Business Practice Location Address Fax Number:
570-207-5579
Provider Enumeration Date:
01/13/2021