Provider First Line Business Practice Location Address:
423 NORTH 21ST ST.
Provider Second Line Business Practice Location Address:
STE. 300
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:
717-763-2559
Provider Business Practice Location Address Fax Number:
717-909-3889
Provider Enumeration Date:
05/04/2006