Provider First Line Business Practice Location Address:
1380 SPAHN AVE
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:
17403-5711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-848-1690
Provider Business Practice Location Address Fax Number:
717-845-3889
Provider Enumeration Date:
04/04/2007