Provider First Line Business Practice Location Address:
1036 N. 9TH ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360-1210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-421-2680
Provider Business Practice Location Address Fax Number:
570-421-2713
Provider Enumeration Date:
11/03/2008