Provider First Line Business Practice Location Address:
19 S HANOVER ST
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17013-3327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-243-5080
Provider Business Practice Location Address Fax Number:
717-243-6950
Provider Enumeration Date:
06/08/2010