Provider First Line Business Practice Location Address:
1100 CLARK ROAD MEADE SENIOR HIGH SCHOOL
Provider Second Line Business Practice Location Address:
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:
410-674-2676
Provider Business Practice Location Address Fax Number:
410-674-8750
Provider Enumeration Date:
05/03/2007