Provider First Line Business Practice Location Address:
17 S 19TH 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:
17011-5459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-775-3380
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/21/2006