Provider First Line Business Practice Location Address:
1417 E MARKET ST
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:
17403-1254
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-887-4478
Provider Business Practice Location Address Fax Number:
717-699-4843
Provider Enumeration Date:
02/24/2007