Provider First Line Business Practice Location Address:
4749 W. LIONCOLN HWY
Provider Second Line Business Practice Location Address:
WEST SADSBURY SHOPS/OFFICES
Provider Business Practice Location Address City Name:
PARKESBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19365
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-442-0739
Provider Business Practice Location Address Fax Number:
484-712-5232
Provider Enumeration Date:
07/30/2015