Provider First Line Business Practice Location Address:
GEORGETOWN UNIVERSITY 37TH AND O ST NW
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:
20057-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-687-2362
Provider Business Practice Location Address Fax Number:
202-687-4117
Provider Enumeration Date:
03/19/2020