Provider First Line Business Practice Location Address:
305 W BALTIMORE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENCASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17225-1413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-593-0170
Provider Business Practice Location Address Fax Number:
717-593-0712
Provider Enumeration Date:
02/11/2021