Provider First Line Business Practice Location Address:
118 PLEASANT ACRES RD
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:
17402-8975
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-840-7144
Provider Business Practice Location Address Fax Number:
717-757-5756
Provider Enumeration Date:
12/29/2006