Provider First Line Business Practice Location Address:
WALTER REED ARMY MEDICAL CTR ATTN MCHL-MAO-C
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:
20307-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-782-0912
Provider Business Practice Location Address Fax Number:
202-782-3539
Provider Enumeration Date:
12/28/2006