Provider First Line Business Practice Location Address:
606 GERMANY RIDGE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELLIOTTSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17024-9027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-582-4060
Provider Business Practice Location Address Fax Number:
717-582-3584
Provider Enumeration Date:
03/24/2007