Provider First Line Business Practice Location Address:
9 WEST MAIN AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MYERSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17067-1122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-866-4800
Provider Business Practice Location Address Fax Number:
717-866-0300
Provider Enumeration Date:
08/29/2006