Provider First Line Business Practice Location Address:
2471 S QUEEN ST
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:
17402-4947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-812-5888
Provider Business Practice Location Address Fax Number:
717-741-3709
Provider Enumeration Date:
03/24/2006