Provider First Line Business Practice Location Address:
415 E BOUNDARY AVE
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-2811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-846-5174
Provider Business Practice Location Address Fax Number:
717-845-4884
Provider Enumeration Date:
06/02/2006