Provider First Line Business Practice Location Address:
1861 POWDER MILL 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:
17402-4723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-718-2051
Provider Business Practice Location Address Fax Number:
717-718-3466
Provider Enumeration Date:
05/14/2014