Provider First Line Business Practice Location Address:
2216 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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-532-7752
Provider Business Practice Location Address Fax Number:
610-532-7752
Provider Enumeration Date:
05/03/2007