Provider First Line Business Practice Location Address:
2797 S QUEEN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLASTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17313-9540
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-747-9933
Provider Business Practice Location Address Fax Number:
717-741-5756
Provider Enumeration Date:
12/12/2006