Provider First Line Business Practice Location Address:
WRAMC BLDG 2 DEPARTMENT OF MEDICINE
Provider Second Line Business Practice Location Address:
6900 GEORGIA AVE NW
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20307-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
120-227-8268
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/27/2008