Provider First Line Business Practice Location Address:
900 CENTERVILLE RD STE A
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:
17601-1487
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-898-2023
Provider Business Practice Location Address Fax Number:
717-898-2038
Provider Enumeration Date:
10/24/2006