Provider First Line Business Practice Location Address:
50 PARKWOOD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-4501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-262-2183
Provider Business Practice Location Address Fax Number:
717-262-2486
Provider Enumeration Date:
07/02/2007