Provider First Line Business Practice Location Address:
4400 LINGLESTOWN RD STE 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINGLESTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17112-8562
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-350-1482
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2009