Provider First Line Business Practice Location Address:
2000 HOLLYWOOD DR
Provider Second Line Business Practice Location Address:
JFS
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-4210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-843-5011
Provider Business Practice Location Address Fax Number:
717-846-3025
Provider Enumeration Date:
02/02/2015