Provider First Line Business Practice Location Address:
23263 BY THE MILL ROAD
Provider Second Line Business Practice Location Address:
BY THE MILL ROAD MEDICAL CENTER
Provider Business Practice Location Address City Name:
CALIFORNIA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-863-5835
Provider Business Practice Location Address Fax Number:
301-863-5489
Provider Enumeration Date:
07/03/2007