Provider First Line Business Practice Location Address:
1016 BUCHANAN ST SE
Provider Second Line Business Practice Location Address:
BRANCH HEALTH CLINIC, WASHINGTON NAVY YARD
Provider Business Practice Location Address City Name:
WASHINGTON NAVY YARD
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20374-5020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-433-2480
Provider Business Practice Location Address Fax Number:
202-433-0502
Provider Enumeration Date:
08/31/2005