Provider First Line Business Practice Location Address:
REAR 750 STATE RTE 93
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SYBERTSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18251-0323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-708-2525
Provider Business Practice Location Address Fax Number:
570-788-9330
Provider Enumeration Date:
07/09/2013