Provider First Line Business Practice Location Address:
6250 W MANCHESTER MALL
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:
17404-4607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-764-2437
Provider Business Practice Location Address Fax Number:
717-764-7951
Provider Enumeration Date:
06/04/2007