Provider First Line Business Practice Location Address:
341 CUMBERLAND ST
Provider Second Line Business Practice Location Address:
1ST FLOOR
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17042-5547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-272-1050
Provider Business Practice Location Address Fax Number:
717-272-1740
Provider Enumeration Date:
06/27/2005