Provider First Line Business Practice Location Address:
1401 ROOSEVELT AVE
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:
17404-2244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-356-6250
Provider Business Practice Location Address Fax Number:
717-553-1269
Provider Enumeration Date:
12/23/2016