Provider First Line Business Practice Location Address:
12510 N WELTY RD STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAYNESBORO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17268-1757
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-387-7368
Provider Business Practice Location Address Fax Number:
717-788-3171
Provider Enumeration Date:
05/21/2026