Provider First Line Business Practice Location Address:
302 W ORANGE 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:
17603-3749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-392-8848
Provider Business Practice Location Address Fax Number:
717-397-5290
Provider Enumeration Date:
09/01/2011