Provider First Line Business Practice Location Address:
2312 SCOTLAND RD
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-7960
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-267-2081
Provider Business Practice Location Address Fax Number:
717-267-2740
Provider Enumeration Date:
07/20/2006