Provider Type: Managed Care Organizations
Provider Classification: Preferred Provider Organization
Definition of Specialization:
Address: 15309 Johnstone Ln
Bowie, MD 20721-7275
Phone: (301) 218-8836
Fax: (301) 218-8836
Authorized Official: Waters, Sharon Lawanda
Authorized Official Position: Owner
Authorized Official Phone: (202) 431-8455

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