Provider First Line Business Practice Location Address:
2387 CARLISLE RD
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:
17404-4007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-767-6846
Provider Business Practice Location Address Fax Number:
717-779-0474
Provider Enumeration Date:
01/16/2007