Provider First Line Business Practice Location Address:
600 E HIGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELIZABETHTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17022-1713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-367-1521
Provider Business Practice Location Address Fax Number:
171-367-1920
Provider Enumeration Date:
01/03/2007