Provider First Line Business Practice Location Address:
1800 CENTER 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:
17011-1702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-302-3030
Provider Business Practice Location Address Fax Number:
717-302-4165
Provider Enumeration Date:
01/10/2012