Provider First Line Business Practice Location Address:
2010 MARKET 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:
17011-4703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-737-5544
Provider Business Practice Location Address Fax Number:
717-214-6871
Provider Enumeration Date:
05/12/2006