Provider First Line Business Practice Location Address:
1600 6TH AVE
Provider Second Line Business Practice Location Address:
SUITE 113
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-2641
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-718-2393
Provider Business Practice Location Address Fax Number:
717-718-7150
Provider Enumeration Date:
03/02/2006