Provider First Line Business Practice Location Address:
160 N SCHOOL LN
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:
17603-2511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-380-5146
Provider Business Practice Location Address Fax Number:
717-441-3760
Provider Enumeration Date:
08/15/2007