Provider First Line Business Practice Location Address:
253A DIMPSEY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HALIFAX
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17032-9665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-896-7669
Provider Business Practice Location Address Fax Number:
717-834-6332
Provider Enumeration Date:
02/04/2013