Provider First Line Business Practice Location Address:
338 DELAWARE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALMERTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18071-1814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-824-2222
Provider Business Practice Location Address Fax Number:
610-824-3228
Provider Enumeration Date:
09/21/2006