Provider First Line Business Practice Location Address:
1651 MOUNT ZION RD
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:
17402-9086
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-600-0900
Provider Business Practice Location Address Fax Number:
717-600-0910
Provider Enumeration Date:
12/01/2005