Provider First Line Business Practice Location Address:
1796 3RD AVE
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:
17403-1913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-854-2481
Provider Business Practice Location Address Fax Number:
717-854-2442
Provider Enumeration Date:
08/31/2006