Provider First Line Business Practice Location Address:
401 EAST LOUTHER ST
Provider Second Line Business Practice Location Address:
SUITE 219
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-245-0088
Provider Business Practice Location Address Fax Number:
717-245-0095
Provider Enumeration Date:
03/14/2014