Provider First Line Business Practice Location Address:
2 MARKET PLAZA WALL
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:
17055-5679
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-795-3997
Provider Business Practice Location Address Fax Number:
717-795-5494
Provider Enumeration Date:
12/27/2006