Provider First Line Business Practice Location Address:
2323 CARLISLE ROAD
Provider Second Line Business Practice Location Address:
#9
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17408-4057
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-767-1932
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2007