Provider First Line Business Practice Location Address:
1300 WHEELER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUNMORE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18512-2834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-348-0360
Provider Business Practice Location Address Fax Number:
570-348-0362
Provider Enumeration Date:
03/09/2011