Provider First Line Business Practice Location Address:
50 IRVING ST NW
Provider Second Line Business Practice Location Address:
VETERANS AFFAIRS MEDICAL CENTER, DEPARTMENT OF C&P, F11
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20422-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-745-8696
Provider Business Practice Location Address Fax Number:
202-745-8500
Provider Enumeration Date:
06/18/2006