Provider First Line Business Practice Location Address:
6721 OLD JONESTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17112-3329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-215-9881
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/02/2009