Provider First Line Business Practice Location Address:
2050 S QUEEN ST STE 100
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:
17403-4829
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-812-4240
Provider Business Practice Location Address Fax Number:
717-848-5520
Provider Enumeration Date:
04/29/2011