Provider First Line Business Practice Location Address:
161 CANDLELITE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-243-3621
Provider Business Practice Location Address Fax Number:
717-243-1607
Provider Enumeration Date:
02/15/2006