Provider First Line Business Practice Location Address:
3410 E MARKET ST STE B
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:
17402-2629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-840-4207
Provider Business Practice Location Address Fax Number:
717-840-4135
Provider Enumeration Date:
08/31/2006