Provider First Line Business Practice Location Address:
120 S 3RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WRIGHTSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17368-1511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-252-1555
Provider Business Practice Location Address Fax Number:
717-478-6000
Provider Enumeration Date:
05/01/2006