Provider First Line Business Practice Location Address:
245 E 8TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WATSONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17777-1033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-538-2561
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/19/2016