Provider First Line Business Practice Location Address:
2981 HEMPLAND RD UNIT 2&3
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:
17601-1324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-291-5534
Provider Business Practice Location Address Fax Number:
717-293-8265
Provider Enumeration Date:
05/25/2006