Provider First Line Business Practice Location Address:
4 MCCULLOUGH STREET
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:
17551-0302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-872-3250
Provider Business Practice Location Address Fax Number:
717-871-2344
Provider Enumeration Date:
07/02/2006