Provider First Line Business Practice Location Address:
2312 SCOTLAND RD
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-7960
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-263-9979
Provider Business Practice Location Address Fax Number:
717-263-9008
Provider Enumeration Date:
11/17/2008