Provider First Line Business Practice Location Address:
232 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHREWSBURY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17361-1105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-942-2740
Provider Business Practice Location Address Fax Number:
717-942-2752
Provider Enumeration Date:
05/20/2009