Provider First Line Business Practice Location Address:
149 S BALTIMORE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DILLSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17019-1035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-432-8691
Provider Business Practice Location Address Fax Number:
717-432-1421
Provider Enumeration Date:
05/24/2006