Provider First Line Business Practice Location Address:
2030 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:
17102-1814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-233-3106
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/09/2020