Provider First Line Business Practice Location Address:
94 FRIEDENSTAHL AVE
Provider Second Line Business Practice Location Address:
NAZARETH MIDDLE SCHOOL
Provider Business Practice Location Address City Name:
NAZARETH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18064-2332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-515-6477
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/04/2007