Provider First Line Business Practice Location Address:
46 WALNUT BOTTOM RD
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:
17257-8219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-477-2764
Provider Business Practice Location Address Fax Number:
717-839-6951
Provider Enumeration Date:
08/16/2021