Provider First Line Business Practice Location Address:
757 NORLAND AVENUE
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-217-6820
Provider Business Practice Location Address Fax Number:
717-217-6942
Provider Enumeration Date:
10/14/2010