Provider First Line Business Practice Location Address:
3721 TECPORT DRIVE
Provider Second Line Business Practice Location Address:
HEALTH AMERICA
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17106-7103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-540-6774
Provider Business Practice Location Address Fax Number:
717-671-2459
Provider Enumeration Date:
09/29/2006