Provider First Line Business Practice Location Address:
25 N DUKE ST
Provider Second Line Business Practice Location Address:
SUITE 207
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17401-1289
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-718-5786
Provider Business Practice Location Address Fax Number:
717-718-5703
Provider Enumeration Date:
11/08/2013