Provider First Line Business Practice Location Address:
120 E MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEWISTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17044-2125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-248-6004
Provider Business Practice Location Address Fax Number:
717-248-9210
Provider Enumeration Date:
06/24/2024