Provider First Line Business Practice Location Address:
2201 N 2ND ST
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17110-1007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-236-6630
Provider Business Practice Location Address Fax Number:
717-236-6677
Provider Enumeration Date:
03/09/2009