Provider First Line Business Practice Location Address:
22 S RAILROAD ST
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:
17067-1343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-866-4825
Provider Business Practice Location Address Fax Number:
717-866-5261
Provider Enumeration Date:
06/04/2007