Provider First Line Business Practice Location Address:
2100 W PENNSLYVANIA AVE, NW
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20037-3202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-721-2131
Provider Business Practice Location Address Fax Number:
202-721-2121
Provider Enumeration Date:
11/20/2006