Provider First Line Business Practice Location Address:
4400 SOLOMONS ISLAND RD.
Provider Second Line Business Practice Location Address:
ANNE ARUNDEL II SOUTHERN SCHOOL
Provider Business Practice Location Address City Name:
HARWOOD
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20776
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-235-4801
Provider Business Practice Location Address Fax Number:
443-923-9405
Provider Enumeration Date:
03/31/2008