Provider First Line Business Practice Location Address:
125 N. 18TH 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:
17103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-230-9898
Provider Business Practice Location Address Fax Number:
717-238-1793
Provider Enumeration Date:
03/08/2007