Provider First Line Business Practice Location Address:
2151 LINGLESTOWN RD STE 100
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:
17110-9473
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-545-4786
Provider Business Practice Location Address Fax Number:
717-545-6359
Provider Enumeration Date:
03/27/2006