Provider First Line Business Practice Location Address:
720 STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEMOYNE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17043-1536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-439-8167
Provider Business Practice Location Address Fax Number:
717-731-8737
Provider Enumeration Date:
07/28/2021