Provider First Line Business Practice Location Address:
1024 MOUNT ALEM DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUMMELSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17036-8900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-756-6781
Provider Business Practice Location Address Fax Number:
717-566-1820
Provider Enumeration Date:
03/16/2011