Provider First Line Business Practice Location Address:
KIMBOROUGH AMBULATORY CARE CENTER
Provider Second Line Business Practice Location Address:
2480 LLEWELLYN AVENUE
Provider Business Practice Location Address City Name:
FORT MEADE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-677-8942
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2013