Provider First Line Business Practice Location Address:
20 PENNWAY DRIVE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-243-5628
Provider Business Practice Location Address Fax Number:
717-243-5822
Provider Enumeration Date:
04/28/2010