Provider First Line Business Practice Location Address:
219 50TH STREET, S.E.
Provider Second Line Business Practice Location Address:
J. C. NALLE ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
WASHINGTON, D.C.
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-671-6280
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/14/2015