Provider First Line Business Practice Location Address:
1501 MOUNT ROSE AVE
Provider Second Line Business Practice Location Address:
SUITE G 3
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-2989
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-848-4467
Provider Business Practice Location Address Fax Number:
717-848-4468
Provider Enumeration Date:
04/03/2007