Provider First Line Business Practice Location Address:
144 W ORANGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHIPPENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17257-1741
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-809-9492
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/24/2024