Organization
PEACE AND GLORY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA LYNNE BROWN-BRISTOL (CO-OWNER)
(410) 922-2617
Entity
Organization
Contact information
Practice address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(410) 922-2617
Mailing address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(410) 922-2617
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
03AL1070-A
MD
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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