Provider First Line Business Practice Location Address:
1776 S QUEEN ST
Provider Second Line Business Practice Location Address:
101 B
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-4628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-848-5400
Provider Business Practice Location Address Fax Number:
717-848-1071
Provider Enumeration Date:
03/28/2007