Provider First Line Business Practice Location Address:
835 5TH AVENUE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-263-0629
Provider Business Practice Location Address Fax Number:
717-217-4314
Provider Enumeration Date:
03/30/2006