Provider First Line Business Practice Location Address:
25 EJAMES 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:
17602-5107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-397-0555
Provider Business Practice Location Address Fax Number:
717-397-8660
Provider Enumeration Date:
07/18/2005