Provider First Line Business Practice Location Address:
2700 MARTIN LUTHER KING JR. AVE,
Provider Second Line Business Practice Location Address:
SAINT ELIZABETHS HOSPITAL-RMB BUILDING,ROOM 1W 25
Provider Business Practice Location Address City Name:
WASHINGTON DC, SE
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-645-7551
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/07/2007