Provider First Line Business Practice Location Address:
6306 1/2 YORK RD
Provider Second Line Business Practice Location Address:
UNITED OPTICAL
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-433-7261
Provider Business Practice Location Address Fax Number:
410-433-7036
Provider Enumeration Date:
07/14/2006