Provider First Line Business Practice Location Address:
644 FICKES SCHOOL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK SPRINGS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17372-9200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-363-4301
Provider Business Practice Location Address Fax Number:
410-363-4302
Provider Enumeration Date:
10/18/2010