Provider First Line Business Practice Location Address:
3421 CONCORD RD
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:
17402-9001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-351-2419
Provider Business Practice Location Address Fax Number:
717-351-2422
Provider Enumeration Date:
10/06/2005