Provider First Line Business Practice Location Address:
728 S BEAVER 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:
17403-2209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-845-9683
Provider Business Practice Location Address Fax Number:
717-843-2698
Provider Enumeration Date:
02/05/2007