Provider First Line Business Practice Location Address:
2118 SPRING VALLEY RD
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:
17601-2427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-544-0150
Provider Business Practice Location Address Fax Number:
717-544-0151
Provider Enumeration Date:
10/18/2006