Provider First Line Business Practice Location Address:
326 N DUKE 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:
17602-4958
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-394-3798
Provider Business Practice Location Address Fax Number:
717-394-4810
Provider Enumeration Date:
12/24/2010