Provider First Line Business Practice Location Address:
102 W HIGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELIZABETHTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17022-2019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-367-1560
Provider Business Practice Location Address Fax Number:
717-367-8856
Provider Enumeration Date:
11/29/2017