Provider First Line Business Practice Location Address:
286 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK NEW SALEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17371-2009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-792-0484
Provider Business Practice Location Address Fax Number:
717-792-9723
Provider Enumeration Date:
03/09/2020