Provider First Line Business Practice Location Address:
RT 501 NORTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCHAEFFERSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17088
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-949-2777
Provider Business Practice Location Address Fax Number:
717-949-6925
Provider Enumeration Date:
08/12/2005