Provider First Line Business Practice Location Address:
3200 FARMTRAIL 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:
17402-9699
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-767-1954
Provider Business Practice Location Address Fax Number:
717-767-6271
Provider Enumeration Date:
07/19/2005