Provider First Line Business Practice Location Address:
301 LAKE STREET
Provider Second Line Business Practice Location Address:
MISERICORDIA UNIVERSITY'S HEALTH & WELLNESS CENTER
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-674-6276
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/05/2011