Provider First Line Business Practice Location Address:
2700 EASTERN BLVD
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:
17402-2906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-757-7023
Provider Business Practice Location Address Fax Number:
717-747-0123
Provider Enumeration Date:
09/22/2005