Provider First Line Business Practice Location Address:
464 B NORTH GEORGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILLERSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17551-2039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-615-3126
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/27/2007