Provider First Line Business Practice Location Address:
NATIONAL NAVAL MEDICAL CENTER 8901 WISCONSIN AVE
Provider Second Line Business Practice Location Address:
C/O GME OFFICE, BLD 10, ROOM 1006
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20889-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-319-8278
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2008