Provider First Line Business Practice Location Address:
1501 OLD US ROUTE 15
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK SPRINGS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17372-9739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-840-7124
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/05/2007