Provider First Line Business Practice Location Address:
328 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOSCOW
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18444
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-842-2400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2008