Provider First Line Business Practice Location Address:
321 S CHURCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
QUARRYVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17566-9601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-786-1202
Provider Business Practice Location Address Fax Number:
717-786-7758
Provider Enumeration Date:
05/05/2006