Provider First Line Business Practice Location Address:
112 INDUSTRIAL PARK ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-657-0501
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/22/2022