Provider First Line Business Practice Location Address:
140 S 17TH STREET
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:
17104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-234-8500
Provider Business Practice Location Address Fax Number:
717-238-8889
Provider Enumeration Date:
06/27/2013