Provider First Line Business Practice Location Address:
1575 BANNISTER ST
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17404-4946
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-812-2000
Provider Business Practice Location Address Fax Number:
717-812-2010
Provider Enumeration Date:
07/24/2013