Provider First Line Business Practice Location Address:
1501 MOUNT ZION ROAD
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:
17402-9084
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-757-3521
Provider Business Practice Location Address Fax Number:
717-718-0837
Provider Enumeration Date:
03/22/2007