Provider First Line Business Practice Location Address:
445 E KING 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:
17602-3004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-431-1435
Provider Business Practice Location Address Fax Number:
717-295-7762
Provider Enumeration Date:
08/29/2013