Provider First Line Business Practice Location Address:
726 FRANKLIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHOEMAKERSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19555-1619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-451-4514
Provider Business Practice Location Address Fax Number:
610-796-9130
Provider Enumeration Date:
01/12/2015