Provider First Line Business Practice Location Address:
130 LEADERS HEIGHTS 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:
17403-5121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-747-3099
Provider Business Practice Location Address Fax Number:
717-747-3214
Provider Enumeration Date:
08/29/2006