Provider First Line Business Practice Location Address:
147 SORBERTOWN HL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNLOCK CREEK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18621-3803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-831-9721
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/04/2026