Provider First Line Business Practice Location Address:
3351 PAXTON ST. S-1
Provider Second Line Business Practice Location Address:
HARRISBURG MALL
Provider Business Practice Location Address City Name:
HARRISBURFG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17111-1469
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-564-7710
Provider Business Practice Location Address Fax Number:
717-564-7819
Provider Enumeration Date:
05/22/2009