Provider First Line Business Practice Location Address:
2550 KINGSTON RD
Provider Second Line Business Practice Location Address:
STE 319
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17402-3735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-757-1111
Provider Business Practice Location Address Fax Number:
717-755-2322
Provider Enumeration Date:
01/17/2007