Provider First Line Business Practice Location Address:
CSOSA / RE-ENTRY & SANCTIONS CENTER
Provider Second Line Business Practice Location Address:
1900 MASSACHUSETTS AVENUE, BLDG. 17
Provider Business Practice Location Address City Name:
WASHINGTON DC
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-345-6949
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/22/2005