Provider First Line Business Practice Location Address:
GEORGETOWN UNIVERSITY
Provider Second Line Business Practice Location Address:
YATES FIELD HOUSE - 37 AND O STREETS
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20057-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-859-6940
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/30/2015