Provider First Line Business Practice Location Address:
4704 OLD US HIGHWAY 322
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
REEDSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17084-8953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-667-6023
Provider Business Practice Location Address Fax Number:
717-667-9597
Provider Enumeration Date:
03/28/2006