Provider First Line Business Practice Location Address:
501 E MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAYNESBORO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17268-2353
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-765-3648
Provider Business Practice Location Address Fax Number:
717-765-3647
Provider Enumeration Date:
05/03/2006