Provider First Line Business Practice Location Address:
56 GRUMBACHER RD STE A
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:
17406-8472
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-718-4114
Provider Business Practice Location Address Fax Number:
717-718-4167
Provider Enumeration Date:
06/08/2006