Provider First Line Business Practice Location Address:
1779 5TH 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:
17403-2632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-815-2700
Provider Business Practice Location Address Fax Number:
717-815-2619
Provider Enumeration Date:
05/07/2013