Organization
EDWJOR-USA COMPANY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN VASQUEZ (OWNER)
(443) 469-9765
Entity
Organization
Contact information
Practice address
6605 CHELWOOD RD, BALTIMORE, MD 21209-2607
(443) 469-9765
Mailing address
6605 CHELWOOD RD, BALTIMORE, MD 21209-2607
(443) 469-9765
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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