Provider First Line Business Practice Location Address:
841 SUMNER ROAD
Provider Second Line Business Practice Location Address:
BLDG. 844
Provider Business Practice Location Address City Name:
CARLISLE BARRACKS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-249-5150
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/27/2015