Provider First Line Business Practice Location Address:
17 W MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUMMELSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17036-1516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-566-2525
Provider Business Practice Location Address Fax Number:
717-974-0120
Provider Enumeration Date:
08/16/2016