Provider First Line Business Practice Location Address:
224 NORTH ST
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:
17101-1124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-877-8301
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2009