Provider First Line Business Practice Location Address:
922 N 3RD 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:
17102-2084
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-585-0980
Provider Business Practice Location Address Fax Number:
717-972-0242
Provider Enumeration Date:
03/18/2015