Provider First Line Business Practice Location Address:
93 BRIM BLVD.
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-3342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-267-3431
Provider Business Practice Location Address Fax Number:
717-267-0560
Provider Enumeration Date:
01/24/2006