Provider First Line Business Practice Location Address:
JEFFERSON & WILLOW STREETS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ADAMSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19501-0515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-484-4347
Provider Business Practice Location Address Fax Number:
717-484-0968
Provider Enumeration Date:
09/08/2006