Provider First Line Business Practice Location Address:
4800 LINGLESTOWN RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17112-9183
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-540-3530
Provider Business Practice Location Address Fax Number:
717-540-3538
Provider Enumeration Date:
01/05/2007