Provider First Line Business Practice Location Address:
5014 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:
17050-2401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-737-6770
Provider Business Practice Location Address Fax Number:
717-737-1566
Provider Enumeration Date:
12/07/2006