Provider First Line Business Practice Location Address:
23 STRICKLER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAYNESBORO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17268-1858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-749-7826
Provider Business Practice Location Address Fax Number:
717-387-5026
Provider Enumeration Date:
06/21/2005