Provider First Line Business Practice Location Address:
520 W KING ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LITTLESTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17340-1414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-359-9899
Provider Business Practice Location Address Fax Number:
717-359-9799
Provider Enumeration Date:
07/10/2006