Provider First Line Business Practice Location Address:
6900 GEORGIA AVE
Provider Second Line Business Practice Location Address:
ALLERGY CLINIC 1J96 WALTER REED ARMY MEDICAL CENTER
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-782-7634
Provider Business Practice Location Address Fax Number:
202-782-7093
Provider Enumeration Date:
10/04/2006