Provider First Line Business Practice Location Address:
501 EAST MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAYESBORO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17268
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-765-3406
Provider Business Practice Location Address Fax Number:
717-765-3447
Provider Enumeration Date:
07/01/2005