Provider First Line Business Practice Location Address:
US DEPT OF STATE
Provider Second Line Business Practice Location Address:
OFFICE OF MEDICAL SERVICES, M/MED
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20520-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-663-2453
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/31/2006