Provider First Line Business Practice Location Address:
10 S 6TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MC SHERRYSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17344-1800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-630-2773
Provider Business Practice Location Address Fax Number:
717-630-2824
Provider Enumeration Date:
09/07/2005