Provider First Line Business Practice Location Address:
4600 E HARRISBURG PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELIZABETHTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17022-9004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-933-2805
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/02/2010