Provider First Line Business Practice Location Address:
503 N 21ST 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:
17011-2204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-972-4501
Provider Business Practice Location Address Fax Number:
717-763-2144
Provider Enumeration Date:
11/05/2012