Provider First Line Business Practice Location Address:
11 E JEFFERSON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MYERSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17067-1150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-866-5111
Provider Business Practice Location Address Fax Number:
717-376-0667
Provider Enumeration Date:
02/22/2007