Provider First Line Business Practice Location Address:
191 LEADERS HEIGHTS RD
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:
17402-4735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-741-2214
Provider Business Practice Location Address Fax Number:
717-741-2204
Provider Enumeration Date:
04/14/2006