Provider First Line Business Practice Location Address:
1493 S QUEEN ST
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:
17403-3852
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-854-2029
Provider Business Practice Location Address Fax Number:
717-854-2042
Provider Enumeration Date:
04/20/2006