Provider First Line Business Practice Location Address:
PARKSIDE HEALTH CENTER
Provider Second Line Business Practice Location Address:
765 KENILWORTH TERRACE NE
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-388-8183
Provider Business Practice Location Address Fax Number:
202-548-8600
Provider Enumeration Date:
04/27/2020