Provider First Line Business Practice Location Address:
1070 NEW HOLLAND AVE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-544-3590
Provider Business Practice Location Address Fax Number:
717-544-3595
Provider Enumeration Date:
09/29/2005