Provider First Line Business Practice Location Address:
350 MONTEVUE LN
Provider Second Line Business Practice Location Address:
FREDERICK COUNTY HEPATITIS CLINIC
Provider Business Practice Location Address City Name:
FREDERICK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21702-8214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
300-631-3343
Provider Business Practice Location Address Fax Number:
300-631-3387
Provider Enumeration Date:
02/07/2007