Provider First Line Business Practice Location Address:
2645 N THIRD STREET
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17110-2037
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-724-6670
Provider Business Practice Location Address Fax Number:
717-724-6671
Provider Enumeration Date:
05/23/2006