Provider First Line Business Practice Location Address:
311 MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18704-5428
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-283-0224
Provider Business Practice Location Address Fax Number:
570-287-7907
Provider Enumeration Date:
04/05/2007