Provider First Line Business Practice Location Address:
512 W LANCASTER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STRAFFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19087-3122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-688-2230
Provider Business Practice Location Address Fax Number:
610-688-0495
Provider Enumeration Date:
02/13/2007