Provider First Line Business Practice Location Address:
US DEPARTMENT OF STATE BUREAU OF MEDICAL SERVICES
Provider Second Line Business Practice Location Address:
2401 E ST NW
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20522-0102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
771-204-0546
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/02/2013