Provider First Line Business Practice Location Address:
722 ALLEGHENY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DAUPHIN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17018-8902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-921-2361
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/30/2008