Provider First Line Business Practice Location Address:
3800 RESERVOIR ROAD NW
Provider Second Line Business Practice Location Address:
7 PHC, DEPARTMENT OF NEUROLOGY
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-444-1037
Provider Business Practice Location Address Fax Number:
202-444-2813
Provider Enumeration Date:
07/01/2018