Provider First Line Business Practice Location Address:
624 WARRINGTON AVE SE
Provider Second Line Business Practice Location Address:
BUILDING #183, WNY BRANCH NAVAL HEALTH CLINIC
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:
20374-5022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-433-9204
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/15/2006