Provider First Line Business Practice Location Address:
1325 N RIVER ST
Provider Second Line Business Practice Location Address:
TUFT-TEX COMPLEX
Provider Business Practice Location Address City Name:
PLAINS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18702-1899
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-332-1304
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/03/2015