Provider First Line Business Practice Location Address:
340 S LIBERTY ST
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:
17961-2127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-366-1154
Provider Business Practice Location Address Fax Number:
570-366-7711
Provider Enumeration Date:
04/03/2007