Provider First Line Business Practice Location Address:
1600 S QUEEN ST
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:
17403-4627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-854-0460
Provider Business Practice Location Address Fax Number:
717-854-2593
Provider Enumeration Date:
06/29/2009