Provider First Line Business Practice Location Address:
106 HOSPITAL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PECKVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18452-1108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-766-1329
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/06/2020