Provider First Line Business Practice Location Address:
5 E LINCOLN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MYERSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17067-1108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-866-2030
Provider Business Practice Location Address Fax Number:
717-866-2818
Provider Enumeration Date:
05/06/2010