Provider First Line Business Practice Location Address:
208 WAYNE ROAD
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-263-1617
Provider Business Practice Location Address Fax Number:
717-263-9799
Provider Enumeration Date:
08/16/2006