Provider First Line Business Practice Location Address:
4480 KING ST
Provider Second Line Business Practice Location Address:
ALEXANDRIA HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22302-1300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-838-4400
Provider Business Practice Location Address Fax Number:
703-838-4037
Provider Enumeration Date:
05/10/2006