Provider First Line Business Practice Location Address:
236 N GEORGE ST
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17401-1108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-515-8116
Provider Business Practice Location Address Fax Number:
717-650-2547
Provider Enumeration Date:
11/01/2011