Provider First Line Business Practice Location Address:
1001 S MARKET ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
MECHANICSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17055-4748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-697-8030
Provider Business Practice Location Address Fax Number:
717-691-6755
Provider Enumeration Date:
07/13/2005