Provider First Line Business Practice Location Address:
484 W MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17401-3804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-845-9664
Provider Business Practice Location Address Fax Number:
717-845-9666
Provider Enumeration Date:
12/04/2006