Provider First Line Business Practice Location Address:
6951 ALLENTOWN BLVD
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17112-3374
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-657-9060
Provider Business Practice Location Address Fax Number:
717-657-9061
Provider Enumeration Date:
11/14/2007