Provider First Line Business Practice Location Address:
2 & HALF & MARKET STREETS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BENTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-925-6441
Provider Business Practice Location Address Fax Number:
570-925-5008
Provider Enumeration Date:
11/08/2006