Provider First Line Business Practice Location Address:
20TH STREET & CONSTITUTION AVE, NW
Provider Second Line Business Practice Location Address:
HEALTH UNIT
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20551-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-452-3912
Provider Business Practice Location Address Fax Number:
202-736-1978
Provider Enumeration Date:
10/04/2006