Provider First Line Business Practice Location Address:
217 FRANKLIN AVE STE 2
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:
18071-1521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
272-639-5345
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/10/2024