Provider First Line Business Practice Location Address:
40 N 36TH STREET
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-737-4321
Provider Business Practice Location Address Fax Number:
717-737-4357
Provider Enumeration Date:
03/20/2007