| Vanilla Management Llc | |
|
20 Expedition Trl Suite 102 Gettysburg PA 17325-8598 | |
| (717) 515-9652 | |
| Not Available |
| Full Name | Vanilla Management Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 20 Expedition Trl, Gettysburg, Pennsylvania |
| Authorized Official Name and Position | Robin Shah (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7175159652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanilla Management Llc 20 Expedition Trl Suite 102 Gettysburg PA 17325-8598 Ph: () - | Vanilla Management Llc 20 Expedition Trl Suite 102 Gettysburg PA 17325-8598 Ph: (717) 515-9652 |
| NPI Number | 1043453889 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 04/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043453889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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