Provider First Line Business Practice Location Address:
1278 S MARKET 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:
17022-2843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-367-2613
Provider Business Practice Location Address Fax Number:
717-367-2601
Provider Enumeration Date:
11/13/2020