Provider First Line Business Practice Location Address:
2200 S GEORGE ST
Provider Second Line Business Practice Location Address:
SUITE W-2
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-4594
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-747-3220
Provider Business Practice Location Address Fax Number:
717-747-3338
Provider Enumeration Date:
08/18/2014