Provider First Line Business Practice Location Address:
100 W PATTERSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANSFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18232-1304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-645-8385
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/18/2019