Provider First Line Business Practice Location Address:
5400 CHAMBERS HILL ROAD
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:
17111-2545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-525-9804
Provider Business Practice Location Address Fax Number:
717-525-9862
Provider Enumeration Date:
03/30/2012