Provider First Line Business Practice Location Address:
1638 STATE ROUTE 106
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLIFFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-222-7500
Provider Business Practice Location Address Fax Number:
570-222-7503
Provider Enumeration Date:
07/20/2006