Provider First Line Business Practice Location Address:
INDIAN HEALTH SERVICE
Provider Second Line Business Practice Location Address:
801 THOMPSON AVE, SUITE 300
Provider Business Practice Location Address City Name:
ROCKVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20852-1627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-443-1190
Provider Business Practice Location Address Fax Number:
301-443-8170
Provider Enumeration Date:
05/27/2005