Provider First Line Business Practice Location Address:
338 ALEXANDER SPRING RD
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:
17015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-243-1636
Provider Business Practice Location Address Fax Number:
717-249-2415
Provider Enumeration Date:
10/03/2006