Provider First Line Business Practice Location Address:
1300 MILLERSVILLE PIKE
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:
17603-6614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-299-3524
Provider Business Practice Location Address Fax Number:
717-299-3552
Provider Enumeration Date:
12/29/2009