Provider First Line Business Practice Location Address:
200 DELAWARE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONESDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18431-1150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-253-9039
Provider Business Practice Location Address Fax Number:
570-253-9052
Provider Enumeration Date:
12/13/2006