Provider First Line Business Practice Location Address:
1180 LOWTHER RD
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:
17011-7541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-774-1044
Provider Business Practice Location Address Fax Number:
717-724-1388
Provider Enumeration Date:
10/20/2006