Provider First Line Business Practice Location Address:
1954 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:
17408-1510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-764-4231
Provider Business Practice Location Address Fax Number:
717-767-1917
Provider Enumeration Date:
09/01/2006