Provider First Line Business Practice Location Address:
9974 MOLLY PITCHER HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHIPPENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17257-8503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-532-9345
Provider Business Practice Location Address Fax Number:
717-532-3534
Provider Enumeration Date:
07/24/2008