Provider First Line Business Practice Location Address:
1010 PLYMOUTH RD STE D
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:
17402-3864
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-840-3259
Provider Business Practice Location Address Fax Number:
717-840-3278
Provider Enumeration Date:
06/30/2014