Provider First Line Business Practice Location Address:
7 N MARKET STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILLERSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17062-0204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-589-3131
Provider Business Practice Location Address Fax Number:
717-589-3662
Provider Enumeration Date:
11/02/2006