Provider First Line Business Practice Location Address:
243 W KING ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHIPPENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17257-1125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-800-1962
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/27/2024