Provider First Line Business Practice Location Address:
7580 CHAMBERS HILL 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:
17111-5132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-244-6916
Provider Business Practice Location Address Fax Number:
717-782-2161
Provider Enumeration Date:
10/05/2012