Provider First Line Business Practice Location Address:
WRAMC DEPLOYMENT HEALTH CLINICAL CTR
Provider Second Line Business Practice Location Address:
6900 GEORGIA AVE NW BLDG 2 3RD FLOOR ROOM 3G04
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:
301-252-3564
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/22/2006