Provider First Line Business Practice Location Address:
1668 RT 715 SOUTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
REEDERS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18352
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-629-9220
Provider Business Practice Location Address Fax Number:
570-629-9188
Provider Enumeration Date:
08/23/2005