Provider First Line Business Practice Location Address:
355 N 21ST ST
Provider Second Line Business Practice Location Address:
SUITE 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:
17011-3707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-731-8350
Provider Business Practice Location Address Fax Number:
717-731-8370
Provider Enumeration Date:
04/26/2006