Provider First Line Business Practice Location Address:
LENS CRAFTERS RT # 6
Provider Second Line Business Practice Location Address:
VIEWMONT MALL
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-341-7109
Provider Business Practice Location Address Fax Number:
570-341-6774
Provider Enumeration Date:
07/28/2021