Provider First Line Business Practice Location Address:
2400 KINGSTON COURT
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:
17402-2400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-755-8811
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2005