Provider First Line Business Practice Location Address:
351 LOUCKS RD
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:
17404-1740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-366-4004
Provider Business Practice Location Address Fax Number:
412-366-8182
Provider Enumeration Date:
07/29/2014