Provider First Line Business Practice Location Address:
176 S COLDBROOK AVE
Provider Second Line Business Practice Location Address:
UNIT 2
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-2714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-267-7480
Provider Business Practice Location Address Fax Number:
717-267-7403
Provider Enumeration Date:
03/06/2007