Provider First Line Business Practice Location Address:
240 DIVISION 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:
17110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-233-7153
Provider Business Practice Location Address Fax Number:
717-221-9087
Provider Enumeration Date:
01/06/2006