Provider First Line Business Practice Location Address:
504 SCOTT ST
Provider Second Line Business Practice Location Address:
USAMRMC HQ
Provider Business Practice Location Address City Name:
FORT DETRICK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21702-9218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-619-7802
Provider Business Practice Location Address Fax Number:
301-619-7803
Provider Enumeration Date:
01/16/2007