Provider First Line Business Practice Location Address:
356 W MAIN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MYERSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17067-1023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-866-1400
Provider Business Practice Location Address Fax Number:
717-866-9954
Provider Enumeration Date:
06/03/2006