Provider First Line Business Practice Location Address:
1401 ROOSEVELT AVE
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:
17404-2244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-232-5807
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/07/2011