Provider First Line Business Practice Location Address:
854 PLAZA BLVD
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:
17601-2738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-295-3111
Provider Business Practice Location Address Fax Number:
717-295-7320
Provider Enumeration Date:
03/31/2006