Provider First Line Business Practice Location Address:
217 KING STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAPERTE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-946-4363
Provider Business Practice Location Address Fax Number:
570-946-4845
Provider Enumeration Date:
03/27/2023