Provider First Line Business Practice Location Address:
209 N BEAVER 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:
17403-5321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-854-9028
Provider Business Practice Location Address Fax Number:
717-852-0438
Provider Enumeration Date:
08/05/2006