Provider First Line Business Practice Location Address:
1600 W WILSON RD
Provider Second Line Business Practice Location Address:
OCCUPATIONAL HEALTH CLINIC, NSWC INDIAN HEAD
Provider Business Practice Location Address City Name:
INDIAN HEAD
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20640-1400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-744-4801
Provider Business Practice Location Address Fax Number:
301-744-4955
Provider Enumeration Date:
08/15/2005