Provider First Line Business Practice Location Address:
1253 # 3 CENTRE TURNPIKE
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:
17961-1796
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-968-2165
Provider Business Practice Location Address Fax Number:
570-968-2170
Provider Enumeration Date:
06/26/2020