Provider First Line Business Practice Location Address:
44 LANCASTER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EPHRATA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17522-1700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-738-2468
Provider Business Practice Location Address Fax Number:
717-738-9936
Provider Enumeration Date:
01/31/2006