Provider First Line Business Practice Location Address:
1030 PLYMOUTH 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:
17402-3863
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-747-3659
Provider Business Practice Location Address Fax Number:
717-885-5550
Provider Enumeration Date:
01/12/2021