Provider First Line Business Practice Location Address:
220 S 4TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
READING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19602-1804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-374-5175
Provider Business Practice Location Address Fax Number:
610-374-0426
Provider Enumeration Date:
09/01/2014