Provider First Line Business Practice Location Address:
WRAMC, BLDG 2, DEPT 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:
20307-5001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-782-7250
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/22/2007