Provider First Line Business Practice Location Address:
9 N WALNUT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT CARMEL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17851-1629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-459-1400
Provider Business Practice Location Address Fax Number:
570-459-1400
Provider Enumeration Date:
02/18/2017