Provider First Line Business Practice Location Address:
2645 N 3RD ST
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17110-2001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-782-4650
Provider Business Practice Location Address Fax Number:
717-782-4665
Provider Enumeration Date:
07/28/2006