Provider First Line Business Practice Location Address:
1 W MARKET ST
Provider Second Line Business Practice Location Address:
SUITE 412
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17401-1253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-767-2873
Provider Business Practice Location Address Fax Number:
717-767-2878
Provider Enumeration Date:
07/25/2006