Provider First Line Business Practice Location Address:
802 NEW HOLLAND AVE
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:
17602-2163
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-560-3782
Provider Business Practice Location Address Fax Number:
717-560-3787
Provider Enumeration Date:
11/03/2005