Provider First Line Business Practice Location Address:
4600 LIVINGSTON RD SE
Provider Second Line Business Practice Location Address:
NATIONAL COLLEGIATE PREPARTORY PCHS
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20032-4098
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-832-7737
Provider Business Practice Location Address Fax Number:
202-832-7736
Provider Enumeration Date:
11/16/2012