Provider First Line Business Practice Location Address:
168 S SGT STANLEY HOFFMAN BLVD
Provider Second Line Business Practice Location Address:
RT 209 BYPASS, CKD SERVICES OF CARBON COUNTY
Provider Business Practice Location Address City Name:
LEHIGHTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18235-2230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-379-0330
Provider Business Practice Location Address Fax Number:
610-379-0336
Provider Enumeration Date:
02/19/2008