Provider First Line Business Practice Location Address:
908 N 3RD 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:
17102-2051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-282-8686
Provider Business Practice Location Address Fax Number:
717-928-4338
Provider Enumeration Date:
01/30/2023