Provider First Line Business Practice Location Address:
2145 SUMMER MOUNTAIN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALMERTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18071-6341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-379-4050
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2009