Provider First Line Business Practice Location Address:
PROGRAM OFFICE ADDRESS HOWARD UNIVERSITY HOSPITAL 2041
Provider Second Line Business Practice Location Address:
GEORGIA AVENUE, NW
Provider Business Practice Location Address City Name:
WAHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-606-0573
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/30/2021