Provider First Line Business Practice Location Address:
102 N BALTIMORE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DILLSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17019-1212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-432-8110
Provider Business Practice Location Address Fax Number:
717-432-8190
Provider Enumeration Date:
08/13/2018