Provider First Line Business Practice Location Address:
2340 EASTERN BLVD.
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-755-4143
Provider Business Practice Location Address Fax Number:
717-840-9787
Provider Enumeration Date:
04/10/2007