Provider First Line Business Practice Location Address:
UNITED STATES DEPARTMENT OF STATE, M/MED/QI
Provider Second Line Business Practice Location Address:
2401 E. STREET, NW, SA-1
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20522-0102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-662-1682
Provider Business Practice Location Address Fax Number:
202-663-3673
Provider Enumeration Date:
09/07/2006