Provider First Line Business Practice Location Address:
1650 UNION AVE
Provider Second Line Business Practice Location Address:
PBG EMPLOYEE HEALTH & WELLNESS CENTER
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21211-1917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-554-7874
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/18/2005