Provider First Line Business Practice Location Address:
705 W MARKET ST STE 10
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORWIGSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17961-1011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-968-2131
Provider Business Practice Location Address Fax Number:
570-968-4027
Provider Enumeration Date:
05/11/2021