Provider First Line Business Practice Location Address:
275 S HOUCKS 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:
17109-2907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-657-2561
Provider Business Practice Location Address Fax Number:
717-657-8217
Provider Enumeration Date:
03/07/2007