Provider First Line Business Practice Location Address:
7540 ALLENTOWN BLVD STE 5
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:
17112-4238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-418-8533
Provider Business Practice Location Address Fax Number:
717-603-9070
Provider Enumeration Date:
11/02/2021