Provider First Line Business Practice Location Address:
432 SOUTH ANGLE STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT JOY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17552
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-653-8810
Provider Business Practice Location Address Fax Number:
717-653-6488
Provider Enumeration Date:
01/23/2007