Provider First Line Business Practice Location Address:
2191 MACDADE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLMES
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19043-1210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-622-1630
Provider Business Practice Location Address Fax Number:
610-622-1647
Provider Enumeration Date:
02/24/2015