Provider First Line Business Practice Location Address:
BUREAU OF HEALTH PROF/HRSA 5600 FISHERS LANE RM 8-05
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20857-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-594-4198
Provider Business Practice Location Address Fax Number:
301-443-2111
Provider Enumeration Date:
12/29/2007