Provider First Line Business Practice Location Address:
70 PARKWOOD DR
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:
17201-4501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-496-8301
Provider Business Practice Location Address Fax Number:
717-496-8426
Provider Enumeration Date:
04/12/2006