Provider First Line Business Practice Location Address:
940 WALNUT BOTTOM RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17015-6926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-249-0085
Provider Business Practice Location Address Fax Number:
717-249-0647
Provider Enumeration Date:
10/22/2008