Provider First Line Business Practice Location Address:
499 RUNNING PUMP ROAD
Provider Second Line Business Practice Location Address:
SUITE 112
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:
717-393-8213
Provider Business Practice Location Address Fax Number:
717-393-8216
Provider Enumeration Date:
10/03/2006