Provider First Line Business Practice Location Address:
4 KELLY ST
Provider Second Line Business Practice Location Address:
KENNEDY PLZ 1
Provider Business Practice Location Address City Name:
ARCHBALD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18403-1627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-876-3312
Provider Business Practice Location Address Fax Number:
570-876-4251
Provider Enumeration Date:
10/12/2006