Provider First Line Business Practice Location Address:
2149 S QUEEN ST
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:
17403-4845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-356-4460
Provider Business Practice Location Address Fax Number:
717-260-3326
Provider Enumeration Date:
07/22/2016