Provider First Line Business Practice Location Address:
1800 LOUCKS RD
Provider Second Line Business Practice Location Address:
SUITE 800
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17408-7902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-885-0063
Provider Business Practice Location Address Fax Number:
717-793-2602
Provider Enumeration Date:
03/17/2010