Provider First Line Business Practice Location Address:
226 EAGLE VALLEY MALL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-1315
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-420-4591
Provider Business Practice Location Address Fax Number:
570-421-2174
Provider Enumeration Date:
06/25/2006