Provider First Line Business Practice Location Address:
4600 E HARRISBURG PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELIZABETHTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17022-9004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-367-9115
Provider Business Practice Location Address Fax Number:
717-367-9759
Provider Enumeration Date:
12/18/2006