Provider First Line Business Practice Location Address:
DTHC ARLINGTON NAVY ANNEX CLINIC
Provider Second Line Business Practice Location Address:
F.O.B. #2 ROOM 1323
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20370-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-614-2726
Provider Business Practice Location Address Fax Number:
703-614-1593
Provider Enumeration Date:
11/17/2008