Provider First Line Business Practice Location Address:
4000 LINGLESTOWN 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:
17112-1017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-231-8508
Provider Business Practice Location Address Fax Number:
717-231-8535
Provider Enumeration Date:
03/16/2017