Provider First Line Business Practice Location Address:
3333 NORTH FRONT STREET
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:
717-233-1681
Provider Business Practice Location Address Fax Number:
717-234-8258
Provider Enumeration Date:
05/19/2006