Provider First Line Business Practice Location Address:
14 N MAIN ST
Provider Second Line Business Practice Location Address:
RM #224
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-264-7012
Provider Business Practice Location Address Fax Number:
717-264-7012
Provider Enumeration Date:
08/04/2006