Provider First Line Business Practice Location Address:
537 SARAH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360-2118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-421-2381
Provider Business Practice Location Address Fax Number:
570-421-2692
Provider Enumeration Date:
04/12/2007