Provider First Line Business Practice Location Address:
436 N LIME 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:
17602-2337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-397-9118
Provider Business Practice Location Address Fax Number:
717-397-3514
Provider Enumeration Date:
10/24/2006