Provider First Line Business Practice Location Address:
1135 OLDE W CHOCOLATE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUMMELSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17036-9188
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-531-7010
Provider Business Practice Location Address Fax Number:
717-531-7102
Provider Enumeration Date:
09/02/2016