Provider First Line Business Practice Location Address:
199 S 1ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEHIGHTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18235-2066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-464-2900
Provider Business Practice Location Address Fax Number:
484-464-2910
Provider Enumeration Date:
09/05/2017