Provider First Line Business Practice Location Address:
11 N US HIGHWAY 15
Provider Second Line Business Practice Location Address:
SUITE 6
Provider Business Practice Location Address City Name:
DILLSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17019-1537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-432-4332
Provider Business Practice Location Address Fax Number:
717-432-0430
Provider Enumeration Date:
12/04/2006