Provider First Line Business Practice Location Address:
99 S CAMERON ST
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:
17101-2809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-233-7290
Provider Business Practice Location Address Fax Number:
717-234-5334
Provider Enumeration Date:
10/09/2014