Provider First Line Business Practice Location Address:
3410 E MARKET ST STE B
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:
17402-2662
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-509-9875
Provider Business Practice Location Address Fax Number:
717-509-9876
Provider Enumeration Date:
06/09/2011