Provider First Line Business Practice Location Address:
310 LORTZ AVE
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:
17201-3416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-446-0055
Provider Business Practice Location Address Fax Number:
707-446-0145
Provider Enumeration Date:
09/09/2014