Provider First Line Business Practice Location Address:
176 MEGINNES RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINTNERSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18930-1622
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-847-2324
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/15/2008