Provider First Line Business Practice Location Address:
3588 WENGER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17202-9548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-369-4926
Provider Business Practice Location Address Fax Number:
717-369-0333
Provider Enumeration Date:
11/29/2005