Provider First Line Business Practice Location Address:
500 W HOSPITAL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAYLOR
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18517-2012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-562-2102
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2019