Provider First Line Business Practice Location Address:
6460 JONESTOWN RD
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:
17112-2638
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-657-3290
Provider Business Practice Location Address Fax Number:
717-901-6691
Provider Enumeration Date:
09/08/2008