Provider First Line Business Practice Location Address:
340 N MIDDLETOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIMA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-891-5783
Provider Business Practice Location Address Fax Number:
610-891-5860
Provider Enumeration Date:
11/30/2015