Provider First Line Business Practice Location Address:
1 NORWEGIAN PLZ
Provider Second Line Business Practice Location Address:
SUITE 302
Provider Business Practice Location Address City Name:
POTTSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17901-4400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-622-1580
Provider Business Practice Location Address Fax Number:
570-622-1866
Provider Enumeration Date:
12/13/2005