Provider First Line Business Practice Location Address: 
1 DARNALL HALL GEORGETOWN UNIVERSITY
    Provider Second Line Business Practice Location Address: 
37TH AND O STREETS, NW
    Provider Business Practice Location Address City Name: 
WASHINGTON
    Provider Business Practice Location Address State Name: 
DC
    Provider Business Practice Location Address Postal Code: 
20057
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
202-687-0121
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
01/13/2015