Provider First Line Business Practice Location Address:
309 N GEORGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILLERSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-295-9259
Provider Business Practice Location Address Fax Number:
717-295-7127
Provider Enumeration Date:
07/14/2006