Provider First Line Business Practice Location Address:
1217 SLATE HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMP HILL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17011-8012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-303-4924
Provider Business Practice Location Address Fax Number:
717-737-6763
Provider Enumeration Date:
03/17/2008