Provider First Line Business Practice Location Address:
221 W PHILADELPHIA ST
Provider Second Line Business Practice Location Address:
SUITE 60W
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17401-2991
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-262-5193
Provider Business Practice Location Address Fax Number:
717-849-4471
Provider Enumeration Date:
04/25/2006