Provider First Line Business Practice Location Address:
2821 EAST PROSPECT 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:
17402-9213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-840-1874
Provider Business Practice Location Address Fax Number:
717-840-0968
Provider Enumeration Date:
08/12/2009