Provider First Line Business Practice Location Address:
26 STATE AVE
Provider Second Line Business Practice Location Address:
SUITE 203
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:
717-241-9595
Provider Business Practice Location Address Fax Number:
717-960-0303
Provider Enumeration Date:
01/14/2008