Provider First Line Business Practice Location Address:
2645 N 3RD STREET
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:
17110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-782-2335
Provider Business Practice Location Address Fax Number:
717-782-2709
Provider Enumeration Date:
09/22/2006