Provider First Line Business Practice Location Address:
40 WEST ELEVENTH AVE
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-852-7733
Provider Business Practice Location Address Fax Number:
717-852-7503
Provider Enumeration Date:
03/23/2006