Provider First Line Business Practice Location Address:
DILOREZNO TRICARE HEALTH CLINIC
Provider Second Line Business Practice Location Address:
FEDERAL BUILDING 2, RM 1345
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:
10/13/2006