Provider First Line Business Practice Location Address:
1871 SANTA BARBARA DR STE 1
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:
17601-4144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-560-1970
Provider Business Practice Location Address Fax Number:
717-560-2278
Provider Enumeration Date:
09/30/2016