Provider First Line Business Practice Location Address:
MEDIMMUNE HEALTH AND WELLNESS CENTER
Provider Second Line Business Practice Location Address:
1 MEDIMMUNE WAY
Provider Business Practice Location Address City Name:
GAITHERSBURG
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20878
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-398-6893
Provider Business Practice Location Address Fax Number:
301-208-9861
Provider Enumeration Date:
09/02/2012