Provider First Line Business Practice Location Address:
19 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-2212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-263-7758
Provider Business Practice Location Address Fax Number:
717-263-1147
Provider Enumeration Date:
01/22/2015