Provider First Line Business Practice Location Address:
2 WRAMC DEPARTMENT
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:
301-619-2997
Provider Business Practice Location Address Fax Number:
301-619-1317
Provider Enumeration Date:
01/05/2007