Provider First Line Business Practice Location Address:
505 N. MARKET STREET
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
ELIZABETHTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17022-1516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-361-9130
Provider Business Practice Location Address Fax Number:
717-689-5243
Provider Enumeration Date:
11/07/2006