Provider First Line Business Practice Location Address:
5450 CARLISLE PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MECHANICSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17050-2411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-605-3409
Provider Business Practice Location Address Fax Number:
717-605-4817
Provider Enumeration Date:
09/20/2006