| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1841419801 | CROTTEAU | GARY | 1434 PORTER ST | FREDERICK | MD | 217029210 | ||
| 1295954709 | LAMB | MARILYN | 1434 PORTER ST | FREDERICK | MD | 217029210 | ||
| 1710106851 | MCDONOUGH | MARIE | L | 1434 PORTER ST | FREDERICK | MD | 217029210 |