Provider First Line Business Practice Location Address:
3504 FREEMANSBURG AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALMER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18045-5107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-762-2428
Provider Business Practice Location Address Fax Number:
610-252-5619
Provider Enumeration Date:
01/31/2008