Provider First Line Business Practice Location Address:
218 HELD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEHIGHTON BOROUGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18235-2821
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-657-0937
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/20/2019