Provider First Line Business Practice Location Address:
1328 W ST SE
Provider Second Line Business Practice Location Address:
ANACOSTIA CLINIC
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20020-5718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-610-7173
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2006