Provider First Line Business Practice Location Address:
1800 CENTER 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:
17089-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-302-4056
Provider Business Practice Location Address Fax Number:
866-507-6567
Provider Enumeration Date:
05/23/2005