Provider First Line Business Practice Location Address:
924 COLONIAL AVE STE A
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:
17403-3450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-495-2802
Provider Business Practice Location Address Fax Number:
717-718-5299
Provider Enumeration Date:
12/07/2007