Provider First Line Business Practice Location Address:
7603 GEORGIA AVE NW
Provider Second Line Business Practice Location Address:
SUITE 101 JOSEPHINE C KING MD
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-726-3331
Provider Business Practice Location Address Fax Number:
202-722-9550
Provider Enumeration Date:
01/08/2007