Provider First Line Business Practice Location Address:
890 POPLAR CHURCH ROAD
Provider Second Line Business Practice Location Address:
SUITE 503
Provider Business Practice Location Address City Name:
CAMPHILL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17011-2200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-761-2949
Provider Business Practice Location Address Fax Number:
717-761-3950
Provider Enumeration Date:
07/08/2006