Provider First Line Business Practice Location Address:
WOODLAWN HEALTH CENTER
Provider Second Line Business Practice Location Address:
6901 SECURITY BLVD
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21207-1910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-627-0109
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/15/2006