Provider First Line Business Practice Location Address:
SAYRE HIGH SCHOOL
Provider Second Line Business Practice Location Address:
5800 WALNUT ST
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-393-1174
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2020