Provider First Line Business Practice Location Address:
1311 N. GILMOR ST.
Provider Second Line Business Practice Location Address:
GILMORE SCHOOL
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-462-2700
Provider Business Practice Location Address Fax Number:
443-923-9405
Provider Enumeration Date:
03/31/2008