Provider First Line Business Practice Location Address:
4300 LONDONDERRY RD.
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:
17109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-657-7525
Provider Business Practice Location Address Fax Number:
570-457-7205
Provider Enumeration Date:
06/17/2010