Provider First Line Business Practice Location Address:
405 SAINT JOHNS CHURCH 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:
17011-5739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-761-7470
Provider Business Practice Location Address Fax Number:
717-761-6291
Provider Enumeration Date:
09/26/2005