Provider First Line Business Practice Location Address:
HOWARD UNIVERSITY 2041 GEORGIA AVENUE NW ROOM 2066
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20060-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-633-2088
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/21/2019