Provider First Line Business Practice Location Address:
2915 E PROSPECT RD
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:
17402-9501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-755-1993
Provider Business Practice Location Address Fax Number:
717-751-0898
Provider Enumeration Date:
10/06/2006