Provider First Line Business Practice Location Address:
23 S ARCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17847-1124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-768-4970
Provider Business Practice Location Address Fax Number:
570-768-4902
Provider Enumeration Date:
12/14/2006