Provider First Line Business Practice Location Address:
1001 E FAYETTE ST
Provider Second Line Business Practice Location Address:
BCHD BUREAU OF SCHOOL HEALTH
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21202-4715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-396-4453
Provider Business Practice Location Address Fax Number:
410-545-6636
Provider Enumeration Date:
12/28/2006