Provider First Line Business Practice Location Address:
1909 RITNER HWY
Provider Second Line Business Practice Location Address:
SUITE #2
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17013-9310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-249-1646
Provider Business Practice Location Address Fax Number:
717-249-0951
Provider Enumeration Date:
04/10/2007