Provider First Line Business Practice Location Address:
CAPRICORN HEALTH, LLC 101 CHESAPEAKE BLVD, SUITE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELKTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-398-0590
Provider Business Practice Location Address Fax Number:
443-707-2070
Provider Enumeration Date:
09/15/2006