Provider First Line Business Practice Location Address:
1901 N 5TH 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:
17102-1510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-221-7900
Provider Business Practice Location Address Fax Number:
717-232-0929
Provider Enumeration Date:
09/22/2005