Provider First Line Business Practice Location Address:
550 W LOUDON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-2030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-263-0450
Provider Business Practice Location Address Fax Number:
717-263-3016
Provider Enumeration Date:
01/09/2015