Provider First Line Business Practice Location Address:
1865 CENTER 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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-761-0414
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2006