Provider First Line Business Practice Location Address:
625 COMMUNITY WAY
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:
17603-2301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-393-0425
Provider Business Practice Location Address Fax Number:
717-735-6009
Provider Enumeration Date:
01/18/2007