Provider First Line Business Practice Location Address:
501 PLEASANT VIEW RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEWISBERRY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17339-9401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-938-1415
Provider Business Practice Location Address Fax Number:
717-938-1416
Provider Enumeration Date:
10/31/2006