Provider First Line Business Practice Location Address:
1907 DIVISION HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EPHRATA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17522-8947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-355-5000
Provider Business Practice Location Address Fax Number:
717-354-8587
Provider Enumeration Date:
08/09/2006