Provider First Line Business Practice Location Address:
1195 ROOSEVELT AVE
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:
17404-2350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-843-0800
Provider Business Practice Location Address Fax Number:
717-843-3222
Provider Enumeration Date:
04/01/2014