Provider First Line Business Practice Location Address:
1717 OLD PHILADELPHIA 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:
17602-2660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-393-9955
Provider Business Practice Location Address Fax Number:
717-393-6001
Provider Enumeration Date:
08/23/2005