Provider First Line Business Practice Location Address:
130 BRIDGE ST STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUNKHANNOCK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18657-1354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-836-7771
Provider Business Practice Location Address Fax Number:
570-836-1890
Provider Enumeration Date:
10/23/2024