Provider First Line Business Practice Location Address:
72 CAMPBELL MILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEWISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17837-7123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-850-3682
Provider Business Practice Location Address Fax Number:
570-523-3032
Provider Enumeration Date:
03/04/2010