Provider First Line Business Practice Location Address:
2690 SOUTHFIELD DR STE A
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:
17403-4510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-741-1414
Provider Business Practice Location Address Fax Number:
717-741-4774
Provider Enumeration Date:
10/14/2009