Provider First Line Business Practice Location Address:
100 E. MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW HOLLAND
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17557
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-354-5635
Provider Business Practice Location Address Fax Number:
717-354-4015
Provider Enumeration Date:
07/13/2012