Provider First Line Business Practice Location Address:
1531 COMMERCE AVE
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:
17015-9166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-241-4441
Provider Business Practice Location Address Fax Number:
717-241-6118
Provider Enumeration Date:
05/25/2006