Provider First Line Business Practice Location Address:
1600 SIXTH AVE.
Provider Second Line Business Practice Location Address:
SUITE 113
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-718-2393
Provider Business Practice Location Address Fax Number:
717-718-7150
Provider Enumeration Date:
02/20/2007