Provider First Line Business Practice Location Address:
1201 SARADANA ROAD
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-652-2242
Provider Business Practice Location Address Fax Number:
717-652-7687
Provider Enumeration Date:
05/01/2013