Provider First Line Business Practice Location Address:
130 S PENN ST STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHIPPENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17257-1916
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-477-2556
Provider Business Practice Location Address Fax Number:
717-496-0346
Provider Enumeration Date:
01/12/2015