Provider First Line Business Practice Location Address:
31 S LOGAN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCADOO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18237-1113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-929-2905
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2013