Provider First Line Business Practice Location Address:
300 HIGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANCHESTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17345-1508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-266-3644
Provider Business Practice Location Address Fax Number:
717-266-0616
Provider Enumeration Date:
04/16/2007