Provider First Line Business Practice Location Address:
6409 FLEECY DALE RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LUMBERVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18933
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-297-8151
Provider Business Practice Location Address Fax Number:
215-297-8151
Provider Enumeration Date:
08/25/2008