Provider First Line Business Practice Location Address:
1600 SIXTH AVE
Provider Second Line Business Practice Location Address:
STE 110
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-718-9459
Provider Business Practice Location Address Fax Number:
717-718-9760
Provider Enumeration Date:
11/16/2006