Provider First Line Business Practice Location Address:
534 WYOMING AVE
Provider Second Line Business Practice Location Address:
DIABETES MANAGEMENT CENTER
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18704-3742
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-552-7150
Provider Business Practice Location Address Fax Number:
570-552-7152
Provider Enumeration Date:
07/04/2006