Provider First Line Business Practice Location Address:
1912 LIBERTY RD BLDG II COUNTRY VILLAGE
Provider Second Line Business Practice Location Address:
CARROLL ACUPUNCTURE CLINIC
Provider Business Practice Location Address City Name:
ELDERSBURG
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21784-6602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-795-2205
Provider Business Practice Location Address Fax Number:
410-795-0026
Provider Enumeration Date:
02/28/2007