Provider First Line Business Practice Location Address:
44 S 38TH ST
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:
17011-4307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-975-0611
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/31/2007