Provider First Line Business Practice Location Address:
1010 EICHELBERGER ST
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
HANOVER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17331-1374
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-646-0440
Provider Business Practice Location Address Fax Number:
717-646-0444
Provider Enumeration Date:
12/12/2006