Provider First Line Business Practice Location Address:
2173 EMBASSY DR.,
Provider Second Line Business Practice Location Address:
SUITE 164
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-431-2027
Provider Business Practice Location Address Fax Number:
717-431-2014
Provider Enumeration Date:
03/20/2007