Provider First Line Business Practice Location Address:
2620 DURHAM 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:
17402-3803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-748-7896
Provider Business Practice Location Address Fax Number:
717-885-5045
Provider Enumeration Date:
06/07/2007