Provider First Line Business Practice Location Address:
1180 WALNUT BOTTOM RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17015-9160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-243-2271
Provider Business Practice Location Address Fax Number:
717-249-9326
Provider Enumeration Date:
02/27/2010