Provider First Line Business Practice Location Address:
1600 SIXTH AVENUE
Provider Second Line Business Practice Location Address:
SUITE 117
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-840-9885
Provider Business Practice Location Address Fax Number:
717-840-9313
Provider Enumeration Date:
09/22/2005