Provider First Line Business Practice Location Address:
5667 YORK RD
Provider Second Line Business Practice Location Address:
RTE 202 #7
Provider Business Practice Location Address City Name:
LAHASKA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18931
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-840-6121
Provider Business Practice Location Address Fax Number:
267-224-4450
Provider Enumeration Date:
03/23/2015