Provider First Line Business Practice Location Address:
2626 NORTH THIRD 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:
17110-2044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-232-5443
Provider Business Practice Location Address Fax Number:
717-232-4553
Provider Enumeration Date:
05/11/2012