Provider First Line Business Practice Location Address:
1902 MARKET ST
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:
17011-4710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-761-0283
Provider Business Practice Location Address Fax Number:
717-761-5672
Provider Enumeration Date:
11/15/2006