Provider First Line Business Practice Location Address:
231 N SHIPPEN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17602-2770
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-295-5444
Provider Business Practice Location Address Fax Number:
717-295-7910
Provider Enumeration Date:
11/30/2007