Provider First Line Business Practice Location Address:
USAMEDDAC 2480 LLEWELLYN AVE FORT GEORGE G MEADE
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:
301-677-8145
Provider Business Practice Location Address Fax Number:
301-400-0858
Provider Enumeration Date:
10/04/2012