Provider First Line Business Practice Location Address:
1030 PLYMOUTH 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:
17402-3862
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-852-7766
Provider Business Practice Location Address Fax Number:
717-852-7862
Provider Enumeration Date:
07/27/2006