Provider First Line Business Practice Location Address:
900 23RD ST NW
Provider Second Line Business Practice Location Address:
WOUND HEALING AND LIMB PRESERVATION CENTER GROUND FLOOR
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20037-2342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-715-4325
Provider Business Practice Location Address Fax Number:
202-715-4085
Provider Enumeration Date:
07/19/2005