Provider First Line Business Practice Location Address:
20 ERFORD ROAD
Provider Second Line Business Practice Location Address:
SUITE # 101
Provider Business Practice Location Address City Name:
LEMOYNE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-730-8555
Provider Business Practice Location Address Fax Number:
717-730-4566
Provider Enumeration Date:
10/24/2006