Provider First Line Business Practice Location Address:
JOHN H. BRADLEY BRANCH HEALTH CLINIC
Provider Second Line Business Practice Location Address:
BUILDING 5003, 2189 ELROD RD.
Provider Business Practice Location Address City Name:
QUANTICO
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-432-6260
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/24/2008