Provider First Line Business Practice Location Address:
2839 S. MARKET ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELIZABETHTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-367-6367
Provider Business Practice Location Address Fax Number:
717-618-0528
Provider Enumeration Date:
07/12/2007