Provider First Line Business Practice Location Address:
2808 OLD POST ROAD
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:
17110-3685
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-920-4400
Provider Business Practice Location Address Fax Number:
717-920-4553
Provider Enumeration Date:
01/13/2009