Provider First Line Business Practice Location Address:
653 S BALTIMORE ST
Provider Second Line Business Practice Location Address:
NORTHERN YORK HIGH SCHOOL
Provider Business Practice Location Address City Name:
DILLSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17019-9690
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-432-8691
Provider Business Practice Location Address Fax Number:
717-502-1981
Provider Enumeration Date:
02/14/2007