Provider First Line Business Practice Location Address:
5 BROOKWOOD AVE
Provider Second Line Business Practice Location Address:
STE 3
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-258-5834
Provider Business Practice Location Address Fax Number:
717-258-4771
Provider Enumeration Date:
08/08/2006