Provider First Line Business Practice Location Address:
761 5TH AVE
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-4210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-660-2114
Provider Business Practice Location Address Fax Number:
717-660-2116
Provider Enumeration Date:
08/29/2006