Provider First Line Business Practice Location Address:
1748 6TH AVE
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:
17403-2643
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-843-0637
Provider Business Practice Location Address Fax Number:
717-843-0329
Provider Enumeration Date:
07/24/2006