Provider First Line Business Practice Location Address:
6997 LINCOLN HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THOMASVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17364-9208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-225-1017
Provider Business Practice Location Address Fax Number:
717-225-5709
Provider Enumeration Date:
08/01/2005