Provider First Line Business Practice Location Address:
GEORGETOWN UNIVERSITY
Provider Second Line Business Practice Location Address:
3300 WHITEHAVEN ST
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20057-1485
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-687-8742
Provider Business Practice Location Address Fax Number:
202-687-8899
Provider Enumeration Date:
05/29/2007