Provider First Line Business Practice Location Address:
1508 APPLEWOOD ACRES
Provider Second Line Business Practice Location Address:
SOUTH ABINGTON
Provider Business Practice Location Address City Name:
CLARKS SUMMIT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-687-7866
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2016