Provider First Line Business Practice Location Address:
1 LEMOYNE SQ
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
LEMOYNE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17043-1230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-737-4511
Provider Business Practice Location Address Fax Number:
717-909-6659
Provider Enumeration Date:
08/12/2008