Provider First Line Business Practice Location Address:
2704 MARKET STREET
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:
17011-4531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-737-1681
Provider Business Practice Location Address Fax Number:
717-731-1648
Provider Enumeration Date:
12/14/2006