Provider First Line Business Practice Location Address:
1800 LINGLESTOWN RD STE 308
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:
17110-3345
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-233-4566
Provider Business Practice Location Address Fax Number:
717-233-4566
Provider Enumeration Date:
08/21/2019