Provider First Line Business Practice Location Address:
2310 PATTON 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:
17112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-724-6500
Provider Business Practice Location Address Fax Number:
717-724-6510
Provider Enumeration Date:
08/10/2009