Provider First Line Business Practice Location Address:
471 PLEASANT HALL 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:
17013-8624
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-654-2117
Provider Business Practice Location Address Fax Number:
717-675-2960
Provider Enumeration Date:
10/16/2026