Provider First Line Business Practice Location Address:
100 SENATE AVE
Provider Second Line Business Practice Location Address:
6 NORTH
Provider Business Practice Location Address City Name:
CAMP HILL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17011-2309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-302-3054
Provider Business Practice Location Address Fax Number:
717-302-3053
Provider Enumeration Date:
01/03/2006