Provider First Line Business Practice Location Address:
175 LANCASTER BLVD
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:
17055-3562
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-691-4820
Provider Business Practice Location Address Fax Number:
717-691-4819
Provider Enumeration Date:
03/24/2006