Provider First Line Business Practice Location Address:
DEPLOMENT HEALTH CLIN CTR AT WALTER REED AMC
Provider Second Line Business Practice Location Address:
BULDING 2 ROOM 3E01, 6900 GEORGIA AVE., NW
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20307-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-356-1012
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2008