Provider First Line Business Practice Location Address:
4201 PATTERSON AVE
Provider Second Line Business Practice Location Address:
MARYLAND PROFESSIONAL VOLUNTEER CORPS
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21215-2222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-464-4876
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2007