Provider First Line Business Practice Location Address:
745 S PLEASANT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLASTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17313-9239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-244-4094
Provider Business Practice Location Address Fax Number:
717-244-9943
Provider Enumeration Date:
10/20/2006