Provider First Line Business Practice Location Address:
850 WALNUT BOTTOM RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17013-3698
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-258-5150
Provider Business Practice Location Address Fax Number:
717-258-3392
Provider Enumeration Date:
11/29/2005