Provider First Line Business Practice Location Address:
220 GRANDVIEW AVE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-975-9900
Provider Business Practice Location Address Fax Number:
717-441-2036
Provider Enumeration Date:
08/04/2006