Provider First Line Business Practice Location Address:
2100 PENNSYLVANIA AVE NW STE W
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE WEST END MEDICAL CENTER
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20037-3227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-872-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/27/2008