Provider First Line Business Practice Location Address:
156 CUMBERLAND PKWY STE 200
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:
17055-6694
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-820-2998
Provider Business Practice Location Address Fax Number:
717-820-2990
Provider Enumeration Date:
10/15/2010