Provider First Line Business Practice Location Address:
888 POPLAR 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:
17011-2205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-724-2126
Provider Business Practice Location Address Fax Number:
717-724-2132
Provider Enumeration Date:
10/07/2005