Provider First Line Business Practice Location Address:
605 S GEORGE ST STE 130
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:
17401-3161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-747-3586
Provider Business Practice Location Address Fax Number:
717-747-3642
Provider Enumeration Date:
02/14/2014