Provider First Line Business Practice Location Address:
2801 N GEORGE ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17406-3022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-840-2617
Provider Business Practice Location Address Fax Number:
717-843-7214
Provider Enumeration Date:
08/20/2009