Provider First Line Business Practice Location Address:
2610 COURSE RD STE C&D
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:
17402-5082
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-885-9525
Provider Business Practice Location Address Fax Number:
717-885-9526
Provider Enumeration Date:
04/05/2011