Provider First Line Business Practice Location Address:
2401 E ST NW
Provider Second Line Business Practice Location Address:
OFFICE OF MEDICAL SERVICES; US DEPARTMENT OF STATE
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20522-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-663-1680
Provider Business Practice Location Address Fax Number:
202-663-1717
Provider Enumeration Date:
06/09/2006