Provider First Line Business Practice Location Address:
2200 S GEORGE ST
Provider Second Line Business Practice Location Address:
SUITE W1
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-4594
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-741-3808
Provider Business Practice Location Address Fax Number:
717-741-0646
Provider Enumeration Date:
03/28/2007