Provider First Line Business Practice Location Address:
46 WALNUT BOTTOM RD STE 200
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:
717-532-4148
Provider Business Practice Location Address Fax Number:
717-532-3561
Provider Enumeration Date:
02/23/2016