Provider First Line Business Practice Location Address:
2101 S QUEEN 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:
17403-4808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-843-0197
Provider Business Practice Location Address Fax Number:
717-843-0865
Provider Enumeration Date:
03/18/2010