Provider First Line Business Practice Location Address:
1854 WAYNE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17202-8836
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-263-0449
Provider Business Practice Location Address Fax Number:
717-263-6870
Provider Enumeration Date:
02/11/2011