Provider First Line Business Practice Location Address:
2232 PITTSTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-969-6327
Provider Business Practice Location Address Fax Number:
570-969-6313
Provider Enumeration Date:
07/17/2014