Provider First Line Business Practice Location Address:
320 CHESTNUT ST
Provider Second Line Business Practice Location Address:
WRIGHTSVILLE ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
WRIGHTSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17368-1521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-252-3676
Provider Business Practice Location Address Fax Number:
717-781-5897
Provider Enumeration Date:
12/04/2008