Provider First Line Business Practice Location Address:
1982 SCOTLAND AVE
Provider Second Line Business Practice Location Address:
UNIT B
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-1450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-261-0802
Provider Business Practice Location Address Fax Number:
717-261-0892
Provider Enumeration Date:
09/15/2006