Provider First Line Business Practice Location Address:
1698 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:
17403-4633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-846-0500
Provider Business Practice Location Address Fax Number:
717-845-8767
Provider Enumeration Date:
01/16/2013