Provider First Line Business Practice Location Address:
3601 NORTH PROGRESS AVE.
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:
717-652-7266
Provider Business Practice Location Address Fax Number:
717-657-9734
Provider Enumeration Date:
05/07/2013