Provider First Line Business Practice Location Address:
420 E PARK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELIZABETHTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17022-2267
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-727-1465
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/01/2026