Provider First Line Business Practice Location Address:
233 COLLEGE AVE
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17603-3372
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-735-7801
Provider Business Practice Location Address Fax Number:
717-735-7804
Provider Enumeration Date:
07/01/2006