Provider First Line Business Practice Location Address:
120 W MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAYNESBORO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17268-1564
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-749-0083
Provider Business Practice Location Address Fax Number:
717-749-3773
Provider Enumeration Date:
09/27/2019